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<br />h't <br /> <br />APPLICATION FOR PBRKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />ONNER's-AA~~ <br /> <br />OWNER'S ADDRESS 7 3 :3 % L .4-;../ () l/ e n.. l)~ <br />~ .4Yn~ <br /> <br />PHONE (PI ~) 7f9 -f'YSJ <br />I <br />~ 1+ I L.L J r: L A- '3 ~ S:?(o <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~ .-\ -, <br /> <br />BLOCK '3 <br /> <br />f' H /-lSl:~2 <br />SUBDIVISION aLp h.a. 1/ I '- t:..-,4 6-d- <br />1 c CJ I ~- 7 cJ <br />Oot:. (OBTAIN nOM PROPERTY TAX NOTICE) <br /> <br />PARCEL 1. D.' <br /> <br />:as <br /> <br />:2s <br /> <br />2/ <br /> <br />006SA <br /> <br />WORK PROPOSED:_New Construction ~ddition ~teration --..Repair _Install <br /> _Sign --.J'Iove _Deaolish <br />PROPOSED USE: 1Single FQlily --.J'II F _' of Units --.J'I/H <br /> _C~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departllent Approval Rc--PL 4C tF 0/ I r n. ; <br /> <br />DESCRIPTION OF WORK: RE/l4cJu...::.- VI N YL WI AI~w:> 4Ai'I?ALtJ/k. . 7ee"KJTEP ,;;J;( ,/.4 wp WIILL..1Jd <br />, f? 7/1]..'- 7e c:r.3 I' <br />BUILDING SIZE: /:L. X j f', ;:;) / b Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />" VELECTRlCAL <br /> <br />PERMITS REOUESTED <br /> <br />0') <br />$ ;<. 0 0 0 .- Valuation of Total Construction <br /> <br />I...?'O AMP Service ~FlOrida Power Corp. <br /> <br />W.R.E.C. <br /> <br />"----1IECHAIIICAL <br /> <br />$ <br /> <br />Val.uation of Mechanical Installation <br /> <br />~LUKBING GAS <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />ROOFING <br />/ <br />_Fr_e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREAT ~ <br />YES NO <br /> <br />****************************************** <br /> <br />~ONTRACTOR SECTION <br /> <br />BUlIJlER COMPANY LJ W /II 6;)'G <br />./ '~ ~ State Cert. or Regist. . <br />Sigoatu~~ City License Registration . <br />***** ************************************ <br /> <br />COMPANyrk. ~C C/rl-r: 'Y t:/r- c -& .e.- <br />State Cert. or Regist. . CJ'C!> / / c:;.-- /"7 <br />City License Registration' /.yc. <br />* **************************************** <br /> <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />ornER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />