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<br />OWNER'S NAME <br /> <br />" f./ /J t-;S"J <br />fo7 ( , ... rrV <br />APPLICATION FOR PERHIT Otj / ,- .-('; 3 P , (. V <br />CITY OF ZEPHYRBILLS 7 /yK r h _,9 <br />BUILDING DEPARTMENT .3'/ . <br /> <br /> <br />PHONE &13 - 7 J>3 -~J>"cP <br />ZEp'fYI'2tU5. I EtA 3~$lO <br /> <br />, <br /> <br />:::r; M S;;(.=N <!-&~ <br />OWNER'S ADDRESS .3 8 19 (p STfJ-f>LI:--'1 r!..ti!UL:::- <br />JOB ADDRESS -!:>-lj:3 () - / fjZlf S~~ <br />LEGAL DESCRIPTION: LOT(S) /~/BrJ/'f BLOCKJtjC; SUBDIVISION t!.t70/ O~ 2ePJll/RAluS <br />PARCEL LD.' II ,)..{,;2..1 POlO /4500 0/70 (OBTAIN FROM PROpnTY TAX NOTICE) <br />WORK PROPOSED: ~ Construction --Addition ---...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--.Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_KIF _, of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ..:38 <br /> <br />Air:::-W" S'/A/6LG" ~/t..'f ~/tJf:?).../cG" <br />'I l/tJ4 ute.. <br />x~3' 7. I05~LA Square Feet. 8 Height <br /> <br />RESIDENTIAL: ATTACH ~2~ PLOT PlANS & (2) SETS OF BIITIJlIR9 ~4NS & (.!l..:iET ENERGY FO~. <br />-1IfOMKERCIAL: ATTACH 3 SETS OF BUILDIIG PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />LBUILDING <br /> <br />/1. 01' <br />$ '-f~, 100 - <br />15"0 AMP Service Florida Power Corp. <br />S Z30D. ".!: ("-'cLb 114/ ~~tion of Mechanical Installation <br />GAS V ROOFING SPECIALTY <br />-- ~~C..t/E'M' &l.Dcf<: <br />TYPE OF GORSTRUGTION: Block _Fraae _Steel ~r~ =bther <br />FIliISHED FLOOR ELEVAITONS: 12" ~~ <loP1>f>PROJEGT IN FLOOD ZONE AREA? ~i <br /> <br />Valuation of Total Construction <br /> <br />LELEGTRICAL <br />L,mGIIAIfICAL <br />LPLUHB~NG <br /> <br />N.R.E.C. <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />.mlD~ <br />Signat _ <br /> <br />~ O<m>AIIY d. t - Rl6.il-7 t!t>M6;,./4770"" <br />~ State Cert. or Regist. t Ut:.-o -5 3" <br />City License Registration . ~/J.-:L "? I L.{ <br />...... ................................... <br /> <br />/ <br /> <br />~ COIlPAIIY I11tJI(GN ~c. Cl2MJ'/h.f'1 <br />State Cert. or Regist. . El'~ (!)@€:> ;;1...7 4:>;J- <br />.- ..ll - ~ City License Registrstion t :;L;).O <br />- ....................................*..... <br /> <br /> <br />PLIIDlER 4:. ~ COIlPAIIY ~""Co "....h; <br />State Cert. or Regist. . <br />Signature (' City License Registration . <br />.. ......................................... <br /> <br />~/ <br /> <br /> <br />V--. <br /> <br />IlECBARIGAL <br /> <br /> <br />.(U~ <br /> <br />COMPANY /'~='J ~-&1--1 ~/< <br />State Cert. or Regist. . C) 09~ <br />City License Registration' rO:3,a I <br />.......................................... ' <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />.................................~.*.*.... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />