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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME Z 15:: P Ii Y R H-1l.L~<; M ~ n Ie -C\l. (11 t..J \ <. LL PHONE <br /> <br />OWNER'S ADDRESS 103 7D Klc-\-t MOLl i':) AIlE;:!Ir-qno 1:f^,,~..J,I T><: '77042. <br /> <br />JOB ADDRESS G'71.f R GALL- 1) \ \I D 2,;; P I-i YR l-t ILL S. FL. <br />S"EG10 IU .:L low":'SIHF>:;l.~Bool<' ~77fL PA4E , 'B 2, <br />LEGAL DESCRIPTION: LOT(S)Scl)rlt~AaU(lE 2.t C.1\S\8LOCK. SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---Alteration _Repair ~Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />-A-eo..ercial <br /> <br />_KIF <br /> <br />_, of Units _KID <br /> <br />_Swia. Pool ..LOther Se~l/l( tz;. <br />of> 0RRO tC:-. <br /> <br />_Indust. <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />-i-ELEC'I'RICAL <br /> <br />$ <br />32s-" <br /> <br />$ <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Total Construction <br /> <br />_MECHANICAL <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BIITT.nER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br /> <br />COMPANY <br />. State Cert. or Regist. t Er oe~ /OBR <br />. y License Registration t ,~ / <br />****************************************** <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />