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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />R; je ;- <br />/ 01 f] 1/ V <br /> <br />PHONE (~f{ / .~) 7 Y.7 - } It,l Lf <br /> <br />.) 1t'/11 <" n.? /7 h ,I} ve <br /> <br />LEGAL DESCRIPTION: LOT(S) >(7 It() BLOCK SUBDIVISION /1 e ~l~(7" L.vLJ-::J-I r/J <br />') I') / / 90 () M Of}) ~ ,;J- '-I f'C- //~ <br />PARCEL 1.0.' I..J- - ff' \:> - f} - 00 - fLY tJ.#- (OBTAlII FRIlK ~PIlRTY TAlI IIbTICIll ( <br /> <br />WORK PROPOSED:_New Construction _Addition ----Alteration _Repair _Install <br /> <br />JOB ADDRESS <br /> <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: ~ingle Faaily _KIF _' of Units _K/8 <br /> _CoB.ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departllent Approval <br />fj e /f' t ;J & /1/j /" . <br /> <br />/ I f <br /> <br />~e/JI/f( e <br />f <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERCIAL : <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 />_BUILDING <br /> <br />. ~g ..... ~TS REOUESTED <br /> <br />~ll;" 9;' 0aIuation of Total Constructioo <br /> <br />1fr: AMP Service Florida Power Corp. <br />. t'/JJ/2 <br />$ - ~ 'fi-ff, ~ Valuation of Mechanical Installation <br /> <br />$ <br /> <br />_ELECTRICAL <br /> <br />W.R.E.C. <br /> <br />----1fECHANlCAL <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUC'l'lON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />V <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br />Signature ~-'1-vA <br />/ / <br /> <br />h. rr'..' COMPANY O'/)I"?/)V'1'/l .~ /1:, (~7/l.'?'1/" <br />t(,! /_ State Cert. or Regist. , I . /J <br />v/c>~'..-z-.u~_ City License Registration' ')... "J / <br />***********~****************************** <br /> <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t CY4(''t') t;"'1 <br />City License Registration # :J- '!. <br />****************************************** <br /> <br />15~ <br />( 4f.. n f"il i~/ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />