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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />I ,- 1ct <br />~/ <br /> <br />OWNER' S NAKE <br /> <br /> <br />;P! 3. JJl).- ~ J-9~f <br />[, t- 37j~Y I <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D." <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --..Addition --..Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROP9SED USE: _Single Faaily _M/F _, of Units _M/H <br /> Leo..erCial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <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 />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGllAlUGAL <br /> <br />$ <br /> <br />Valuation 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 />F1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />BmlJlER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />GOMP~L'.J~/?.--J [S}. (cP.-e/? s <br />State Cert. or Regist. , <br />City License Registration" /6.;z. 7 <br />****************************************** <br /> <br />~ <br />~ <br /> <br />Signature <br /> <br />ELECTRICIAN ~ COMPANY ,'-j'~ <br />~ State Cert. or Regist. # <br />Silm~ture k{ P!/ ~ ~ a City License Registration' <br />************~*************************** <br /> <br />/&?4 <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />MEGBAHI~ COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION ,APPROVED BY PERMIT OFFICER. <br />