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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE WA:.-,tf=-,l/./:C' d 4- )( S- <br />OWNER'S ADDRESS r3 1r ( L /-I/{ V ~ L tl A [, L ~ y IJ-,< <br />JOB ADDRESS <l'Art.r.4-.-5 ~"6l/t. <br />- <br /> <br />PHONE <br />?l 1J-u~4 ),F L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />I _pO i# <br /><35 -.A1~b <br />~(' ~ <br />f35-~~, <br />ptl/'--- <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: T).;5/ucT PrdU11't-L, J (7.'7;'1~) (If'?,) (?f.fJr) (t'/!r7)('i-g-,f"~) ('14. 9,1 ~()f" Id~) <br />BUILDING SIZE: X Square Feet, 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 />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAlfICAL <br /> <br />$ <br /> <br />Valuation 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 />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <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 />ELECTRICIAN . COMPANY ~ t ~ /-r.-d (/4f~./Jil/l-LL <br />,/ ~ / I ~., !) // State Cert. or Regist. f <br />SignAture~lJ:U-;, C'l4~.(. t- City License Registration . <br />, ****************************************** <br /> <br />(' 4'JAJ):,,f-Il7(f l{ <br />C~ '7;Z,() /I <br />V <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature Ci~y License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. * <br />Signature City License Registration I <br />************~***************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />