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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~J-~- k~~/q~b <br /> <br />OWNER'S NAKE <br /> <br />;YIlt r< <br />t ~ /cx. <br /> <br />/J . G:U V <br />. / <br />~ ~;t-A I-a.JI;: ~ d R. <br /> <br />PHONE 7,F-3 <br />Z;n4y~A///r ~~ <br /> <br />7R71' <br />335~/ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS ~ -rr~~c/ <br />LEGAL DESCRlPl'ION: LOT(S) ~'I BLOCK SUBDIVISION 'S1e/,hpds C!e") 5;l\1e~ ~S <br />PARCEL 1.D.' 03-:l G, -a 1- t:) /50.. OC>Oc.o -L);;;;J9'o (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ..L.u.teration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single F8IIily _M/F _, of Units _M/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />E.,"\lCcoSILlC <br /> <br />LA 0A I <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 />5., d-O .0 D <br /> <br />Valuation of Total Construction <br /> <br />-L-ELEC'l'RICAL <br /> <br />AMP Service <br /> <br />1/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECIIARlCAL <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 _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY G L. STEVe c..o.0ST~tO,.u <br />U ~,) i ._' State Cert. or Regist.' C-8<2 -O~d-139 <br />Signature /;r \ L . ,--. City License Registration' 30s <br />/ . **************************************** <br /> <br />= ~ COMPANY 'Z-l-\U.-L') ~.,.elc.. ~G:f2-.J lee <br />~ State Cert. or Regist. , . OOD:A/1.:8 <br />~ ~~ City License Registration . ql" <br />**************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />***********~****************************** <br /> <br />Signature <br /> <br />OTHRR COMPANY <br />- State Cert. or Regist. , <br />Signature ~ '"""~T, ';r:"~;;'\. '> f,.', .*.~'~, City License Registration' <br />t,,~'\ ". $ ", ...:*'...".**,************....*..*.**......*... <br />; ".~ ': "., ': ..~.~~ ..', ~ .h.n~ ~ :, f__~i., . <br />~ .' _ ,_' ~~t...~...,~ t.J1' ~i ."t,':,-.~ ~~''''/' <br />APPLICATION APPR~.'~":":[': .i.:;)'''~'';''':<';i'''''''; ~ PERMIT OFFICER. <br />1 " <\li:' ^ ,.,~.!. <br />