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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />/~~" cP <br /> <br />0IiIlER' S NAIlIl ~;V\ ~CI ij, ph. ~ <br />OWNER'S ADDRESS ~t(J5If L-v UJ~"J Q <br />JOB ADDRESS S ~LL <br /> <br />[f' <br /> <br />PHONE (S 03- q /OS:- 111(/1' <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.# ) Lf-;Z ~-~ 1-6 J !o () - 6(')C)()06- 60'A'fJhAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~tion _Alteration _Repair _Install <br /> <br />_Sign. <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~~e F8IIily <br /> <br />_KIF <br /> <br />_, of Uni ts t...-;;;;;..-ft/B <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />IO;{/"2- J 11 _ JIll L . ~ <br />DESCRIPTION OP 1iORK: ~lVd:: - W-K~- f y:,S't-l ['8 Lljyi~ <br /> <br />BUILDING SIZE: X ,'c)7 Y Square Feet. Height <br /> <br />PERMITS REOUESTED <br /> <br />tutlFP '"'KOllJ'I <br />& (1) SET. ENERGY FoRMs. <br />FORKSC~FlLL-- r). .. ~ <br />"':;;;5~$ ~~LC. <br />c;~.(57J~T <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ ~OSIo.l[9 <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS <br /> <br />FIRISHED FLOOR ELEVATIONS: FT. <br /> <br />ROOFING SPECIALTY <br /> <br />_prue _Steel fllLl1wv\ O~- /,t-e~ I <br /> <br />IS PROJECT IN FLOOD ZONE AREA? . ~ <br />YES NO <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />.......................................... <br /> <br />Bun.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY I L0u1;1J lJ.Jw1 <br />State Cert. or Regist. # <br />City License Registration # <br />.............................. <br /> <br /> <br />fID <br /> <br />~ <br /> <br />Signature <br /> <br />RI.RCTRICIAN COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration' <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. t <br />Signature City License Registration # <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />