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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />c. ~O I '(}J <br /> <br />A. <br /> <br />mInes <br /> <br />PHONE <br /> <br />')~<?-343J <br /> <br />, <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS' -~,. .. !) CJ 2 t., <br /> <br />J I th <br /> <br />ST <br /> <br />_7 L,oA( ~ h ;// j <br />SUBDIVISION <br /> <br />FL <br /> <br />3 ::sc.;;Yo <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />PARCEL I.D..--1J - l- b - 1-1 - DOlO - 0 ) I 0 0 -~O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -^ddition ----Alteration ---Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----111 F <br /> <br />_' of Units _H/H <br /> <br />_eo..ercia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health DeparbRent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES . NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />~ ~ t2 )' State Cert. or Regist. . <br />Signature i'~. ~ City License Registration' <br />.......................................... <br /> <br />F.T .F.CTRICIAN COKPANY <br />State Cert. or Regist. . <br />SignAture City License Registration . <br />......................................**.* <br /> <br />PLUKBER COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />................*.........*..........*..** <br /> <br />KECHANICAL COKPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRR.R COKPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />.................*...........*..*.**.*.... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />