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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWIlER'S ~ud c:tJa~r1. <br />OWNER'S ADDRESS .' 0 Box- ) 2/1 ~ Y1 <br />JOB ADDRESS~ 03Q CdkAdJ 1\.AJ.Jifll ( <br /> <br />2<.t/~ PHONEg]3' ~~3t1~ <br /> <br />() rdnlt I'~ H .. :S:K7 (11 <br />Z(.fJ,j4~~'/k FC J3S'-/O <br />BLOCK SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL LD.t (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair 0nstall <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: ~ngle Faaily <br /> <br />_H/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. . <br /> <br />_Swia. Pool _0 t.he r <br /> <br />_Rest.aurant. & Health Department. Approval <br /> <br />DESCRIPTION OF <br /> <br />WORK:J;JoDcl F-e~1 e~ <br />, COD <br /> <br />x <br /> <br />BUILDING SIZE: <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 />.....t::.BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construct.ion <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllARICAL <br /> <br />$ <br /> <br />Valuat.ion of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />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 />****************************************** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br />COMPANY 0 /J {).IDUrl d 1="'( it ~ /:5 <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert.. or Regist.. t <br />Cit.y License Registration , <br />****************************************** <br /> <br />Si'"'~ture <br /> <br />PLUMBER. <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />KECBANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />Cit.y License Regist.ration t <br />****************************************** <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registrat.ion # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />