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<br />i <br /> <br />APPLICATION FOR PERMIT '" / I <br />CITY Of' ZEPHYRIIlLLS J /. II? <br />BUILDING DEPARTMENT ~ ~ <br /> <br />"* CfllL JUN'~ <br />~l~..qqq. ~<){Co'5 <br /> <br />OWNER'S NAHE EA/<..c f <br />OWNER'S AI>DRESS 3 7 70 t.J <br />JOB ADDRESS ..s-A IV\ ~ <br /> <br />L{ JJ ]) It <br /> <br />SJJA 1<.-1<. <br /> <br />PHONE { ~ 0 - g 'i 9 ;J... <br /> <br />N ~ (.AJA <- Au€ . <br /> <br />7 EPH Y R. (-(( c'- s <br /> <br />5 -5 $'11 <br /> <br />LEGAL DES(,1tIPTION: LOT(S) <br /> <br />~o <br /> <br />BLOCR - SUDDI VISION z'E.I H Y ~ R I 7) G.~ <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX'~OTICE) <br /> <br />WORK PROPOSED: ~ New Constructiou ----^ddition ----^lteration ~epair ____Install <br /> <br />____Sign <br /> <br />---1tove <br /> <br />~ellOlish <br /> <br />PROPOSED USE: <-~ingle Family <br /> <br />_ColRlllercial <br /> <br />----"'f' ____, of Units ~/H <br /> <br />____Indust. ~swim. Pool v/Other <br />:S c:...1? .cE,J E~C. '-...D S v I<.. ~ <br /> <br />____Restaurant & lIealth Department ^pproval <br /> <br />DESCRIPTION OP WORK: <br /> <br />L.O";CA<c(c- <br /> <br />,,..) &/tov ~ /) SWr ""'In (,J &:, Poo L wi A (.,.'/),1 . 'S"tfl. EE~ <br />( E"J C Co suR~.. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t . <br /> <br />lIeight <br /> <br />RESIDENTIAL: <br />COHMERClAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTA~'l (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ^LL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />/'DUILDING <br />/ELECl'RICAL <br />--1lECBAIUCAL <br /> <br />$ <br /> <br />I?, ~;)...u <br />, <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Plorida 'Power Corp. <br />;., <br /> <br />W.-R.E.C. <br /> <br />If <br /> <br />$ <br /> <br />Valuation of Hecb8nical Installation <br /> <br />. ..; ~ <br /> <br />;:v <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: --.-Block ____Fr-e ____Steel <br /> <br />P. Lv fY\ fNv ."--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 />PLUMBER <br />Signature ~~ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~HAL,-'<.tJ G.~f( POO( S <br />State Cert. or Regist.' c...JJe.. 0 ~ J 'il <br />City License Registration t / _____ <br />*.****************************.i*~**** ~. ! <br /> <br />COMPAN ~. C~. C' J-f~ C--- <br />State Cert. or Regist. . <br />City License Registration . <br />************************************ <br /> <br />COM1'~NY dJ/~~ <br />~ /J State Cert. or Regist. <br />,{. Z 1 '- City License Registration' / P"' [77' <br />***.**...*..*......****..*.******.*..*...* <br /> <br />~/ <br /> <br />/BUILDER <br /> <br /> <br />Signature <br /> <br /> <br /> <br />/ <br /> <br />~.. <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . fl <br />****..******.~***************************** rJJS17ILL . Ylf.-V.tr; (/ ) <br />~5o{rrHEll.rJ J1.u..'/V1I~U""'- A ('h'h '....h~ <br />~ COMPANY 7VIJt. ~e,J S r If u c -r; u,..J - .5 <" ",~..J <br />I <br />~ fl Q State Cert. or Regist. 0 /2... x.. c~ fi~ ~~:3 <br />. U~ {J ~ City License Registration f <br />. \ ......*.................*................*...**.*****.. d;;J. '3 I <br /> <br />Signature <br /> <br />~ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFf'ICER. <br />