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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />'(Y- 0 6.0 DO <br />\ ()\1, q\o,g <br />-7{,17 <br /> <br />p~~ Simt'.'.~4-. (+J p~/ ~ ~~ PHONE fJoy- z.-r7- <br /> <br />307 ~\)d~Jl /+v-<... f)~/-v.. ~L,I ~t.. 12//Q <br />(o't,43 At~JL/.J..... pI';;"'" Z ",jib r:~,,~ 13j'l/ <br /> <br />LEGAL DESCRIPTION: LOT(S) 73 BLOcI~ SUBDIVISION S, -jl/~- tJ~ .i.-{ ~ <br /> <br />PARCEL I.D.' 0'1-- ~~.... --z"I--OI'Bo-oovoo -0730 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction _Addition ----..Alteration ~epair _Install <br /> <br />OWNER'S NAME <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />----1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ASingle Faaily <br /> <br />----1I/F _' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & ~ealth Departaent ~proval <br />DESCRIPTION OF WORK: 5 /~).. ~,lj //...n, ~ <br />{'l 'e" cJ{, 'B" I~'-LI a I ~ I /'!~ ~ <br />BUILDING SIZE: X". 1'Vl Square Feet. Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />K-BUlLDING <br /> <br />KELEC'l'RICAL <br /> <br />bCIIARICAL <br /> <br />.KPLUMB~NG <br /> <br />$ <br /> <br />" 7, POD'- <br />/'S'O <br /> <br />Valuation of Total Construction <br />AMP Service ~Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />3000- <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: KBlock _Fraae _Steel Other <br />FIRISBED FLOOR ELEVATIONS: q D ( F1' . IS PROJECT IN FLOOD ZORE AREA? X <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />RUTT.DER <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br /> <br />)114-twJ,-~,;^, <br /> <br /> <br />Signature <br /> <br />OTRRR <br /> <br />F.T.~CTRI:iJ; rI COMPANY 0,0 VI 11\ . -[ -r;;"2 1/1M.1-r (, ' <br />i ....' I State Cert. or Regist. . ~Q JlJJ.U 7 'cY~ ./ <br />Si~ture- ~~- iA.. - -.../., City Lie"""e Resistration' S~ 8' + L <br />--~~~..........*....................... L/ <br /> <br />~ COMPANY ~w/l7~ ~J.jIIJ!~ ~ )NC-r <br />'~ State Cert. or Regist. . ~ t::JO <br />Signature City License Registration . QJ ~ \ _ / <br />. ...........*.*...*.**................../ ~~ ~ \ ~ <br /> <br />MECHANICALll. COMPANY ? 0 /ft//fA-E S <br /> <br />~ J/J. ~ State Cert. or Regist. , / <br />Signature f rkPJ f. City License Registration . ~.h I\. I <br />....... ............ ....... .********* ~ <br />~ <br />COMP <br />J '(}j /v;v~ State Cer <br />~~J- City Lie <br />............ ..........~ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br /> <br />Jnm H3'J" <br /> <br />~. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />