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<br />- ,." ~ ... <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE 5' '7'{'" t/ E <br />OWNER' S ADDRESS ? 9 7 t7 8' <br />JOB ADDRESS =? 9 :/ 0 ff <br />- <br /> <br />? . /?? u,A/ A...r <br />r>?e&./~c....,.I ooc/ <br />.)?? e' ~a/ oc--v od <br /> <br />PHONE <br />L60P <br />CCO~ <br /> <br />'7?3' bY- c? 9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' / '1-d26 021 t?/$Lt) Ci'~CO OdOO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:,KNew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_eo..ercia1 <br /> <br />_lndust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Hea1th Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~ IJU/[L? <br />/9/.JxI<f . t?- gtJ Square Feet, <br /> <br />~ <br /> <br />)h~k"7 <br />rr <br />7 Height <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />I, &YOo <br /> <br />, I <br /> <br />PERMITS REOUESTED <br /> <br />Va1uation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-llECHANlCAL <br /> <br />$ <br /> <br />Va1uation 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 />FDfISBED FLOOR ELEVATIONS: <br /> <br />YES <br /> <br />~ <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />CONTRACTOR SEG:tlOH~ <br /> <br />BUILDER ..- COMPANY t:.,L;.. ~ g.. i:::::oo -/ <br />. ~ ----' State Cert. or Regist. , <br />Signature ~.~ City License Registration' <br />.......................................... <br /> <br />ELECTRICIAR 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 />HE~ICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />