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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE 111 J'(, kd cI ;f- <br />OWNER'S ADDRESS 0'8"" ~ 7" <1 7h 6 r <br />JOB ADDRESS " 6 t/,)'" / t") 7Zt S r <br /> <br />PHONE <br />Z,€OAV;( /-kL{r, TL <br />, / ' <br /> <br />~~,4At/4/c~, FL <br />/ <br /> <br />3 :;>s-Yo <br />J3sj#c> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _KID <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK:~ - (') fl~ (cZdZl "+1"'1;0 5'e~(/t'~) <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 />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllARICAL . $ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlBISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />.................................*****.*** <br /> <br />YES NO <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 />ELEC'l'RIClAN COMPANY;f,' Ci'ktUJ CJe.,+jtlcf A-t-L FL~~p;. I'L <br />&i'lll~=-;e.d~-II1.~ ~~~\~~:';"O~e:::~:~~i:'" "7~ <br /> <br />.*.***********.**.**********.****.******** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />******...****.**************.************* <br /> <br />ItECBANICAL 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 PERMIT OFFICER. <br />