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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />I' <br /> <br />(/ <br />; '}I,(I,[' I J I' <br />OWNER'S NAKE;, _ ) I S ~b I <br /> <br />t(r(/s{/'. <br /> <br />PHONE C. / j <br /> <br />/.SL~ j /f ./ <br /> <br />- ....-. <br /> <br />_ttB5S ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ~3J <br />~~~~~,)O,Q - ~/,., -:2 (- 1- SO - 3. ~ r .3 Y; (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~New Construction _Addition ---Alteration _Repair _Install <br /> <br />BLOCK <br /> <br />SUBDIVISION ~ <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F:mily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br />_Swim. Pool ~~r <br /> <br />_eo..ercial <br /> <br />_Indust, <br /> <br />DESCRIPTION OF WORK: <br /> <br />>? >< I() '--;/l?-R'tiJl <br /> <br />Approval <br /> <br />r5~-LA{ <br /> <br />_Restaurant & Health Department <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <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 />~LDING <br /> <br />$ ~DO' <br /> <br />.---." <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C, <br /> <br />-- MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~UHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr:me _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 />CONTRACTOR SECTION <br />COMPANY C~7'~A~ <br /> <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />BITH.DER <br /> <br />SiQllature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />