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<br />APPLICATION FOR PERM.IT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OIINER'S ~ fl, .Ih~d <br />OWNER'S ADDRESS ~ ~tf~ h ~f '/)fl <br />JOB ADDRESS ~ <br />IJlGAL DBSCIUPrION: LOT(S) ~ BLOCK SUBDIVISION <br />-s <br />PARCEL I. D,' 0'3 - d ~ 'J J - () I ()..() - (')fY)rJ 0 - rJ ,V (J (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration __epair _Install <br /> <br />POO-;' ;r3-T-~~ <br />7ef~VlLp{ ( '& :3 s -I <br /> <br />S;-;(J(C((. oPrks pjft~lE- <br />, <br /> <br />_Sign <br /> <br />-",ove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Si~leF~ily <br /> <br />_KIF _' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />fJlzro/\ E~r <br /> <br />/n <br /> <br />t/A '/\ t:2 <br /> <br />C//V~ _ S-J;/77(.?A. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~UILDING <br />~ELECTRICAL <br /> <br />PERKITS REOUESTED <br />$ OZ yo 0 l ~O Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W,R.E.C. <br /> <br />~CHAIIICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />~UKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FI.RISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIJTUlER COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />=CIAR ~-:>.7 COIIPAJIY !/t'/,-~ M~ ~~-~ <br />~ .~/"., State Cert. or Regist. . - /'? L. <br />__ ure~ ~ City License Registration' !2..I.Jl..!L <br />-:-- - .......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist, . <br />Signature City License Registration , <br />............................*....*........ <br /> <br />MECHANICAL 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 t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERM.IT OFFICER. <br />