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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE 5E.1VJ 5 Lei:.. EE)? ?tJLr,J~fJ ~~ !.-rO PHONE <B/~ 3e/-( 6o::D <br />OWNER'S ADDRESS -5'B5"S CC-Nl'I!A.G /3[1/'0 5'f.~ ~ 557a <br />JOB ADDRESS 5e. 6'l-s/ J. (S; (J~ 30/ Ze-" yeltJ!r rz <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.0.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:XNew Construction _Addition ---...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />~eo..ercial <br /> <br />_M/F _' of Units _M/H <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WO~: "'en! H.ee5'PJ,JD/"J(q Ect::et:os St./r'Ct;/Jq <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />K..BUILDING <br />~ELEGTRICAL <br />~CHAIllCAL <br />LPLutlBING <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: XBlock _Fr8lle ~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 />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />\ COMPANY J. ~VPt();J() ~ Asscc.v41es, triG. <br />State Cert. or Regist. . rC C~c c>~z.1~' <br />'0>' City License Registration . ,;) -3 0 t? <br />****************************************** <br /> <br />~ <br /> <br />BUILDER <br /> <br />F.T.F.CTRI~ l' <br /> <br />COMPANY~-rAL EUc-r,e, 'G <br />/ State Cert. or Regist.' r::c.. /!JOt:? I "I 3 q <br />~---... City License Registration' li82...-Ec:.._ CJOO1'-I3'i ~ <br />*********************************** /7~a- <br /> <br />COMPANY -=>CC-r,.OI~ pWm/J/;/f; <br />State Cert. or Regist. f C!.r<!.:n2 7):J' <br />City License Registration' _ I!JS- <br />****************************************** <br /> <br />v- <br /> <br />KECHANICAL COMPANY ~^,/t.e6'f AlIe..II^,,~,(A-(el) <br />;j :I 11/ ~ I/t:> State Cert. or Regist. , (l Q -) Lf i <3"13 <br />Signature ~lf:vb4.oJfl CL- City License Registration . 2 .3 / ~ <br />***************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />