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<br />\ /) 0^ ~1') <br />i, 0/-04-' v <br />eJR.h?tb -J <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~fuwJ G-on6.q/~'Z- <br />OWNER'S ADDRESS ~~'}-I ("- 1 t1 ~~ ~ Q ~ I//Ji~/ /Ill: I, <br />JOB ADDRESS !Vfu.. k~ Yr\ 1ft! E, <br />o <br /> <br />PHONE tI j -1S -1--:3 fb f- k ;e) J",7 :7 <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1.D.,3 - <br />WORK PROPOSED:~ Construction <br /> <br />_Sign <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_eo..ercial <br /> <br />BLOCK SUBDIVISION GrfMtrl /)0 P; 2{J 11 5 (II .;ljDl <br />0'- ~T //10 <br /> <br />_Addition _Alteration ~epair _Install <br />_Move _De-.olish <br />_M/F _' of Units 6'H <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Department Approval <br /> <br />LJ / E/-;4uJ-- /I~ <br /> <br />~~A4nn/ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDElfITAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />lh.l/-, <br />~UILDING <br />_'--iLEC'fRICAL <br /> <br />~CJWnCAL <br /> <br />PERMITS REOUESTED <br /> <br />". ~!. 01 4)- <br />~L Valuation of Total Construction <br />/ ~ 0 AMP Service Florida Power Corp. <br /> <br />$ <br /> <br />$ <br /> <br />d 06 '6!12- <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />~UKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />FT. <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />FIBISBED FLOOR ELEVATIONS: <br /> <br />Other <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br />COMPANY en ~ RtY(fJ0 - p~ ~ ~ r/ <br />State Cert. or Regist.' ::r:.-B-c::oOOft;D7 <br />City License Registration , ~1fJ "7 <br />- <br />************************************ <br /> <br />-- R~~ <br /> <br />COMPANY <br />State Cert. or Re ist. , <br />City License Registration # <br />*********************************** <br /> <br />=~~~g~~fgt:= ~ <br /> <br />City License Registration . ~n II +- <br /> <br />:.......=:::.a::.R...~::ko ~ tv i II,'~ <br /> <br />/ State Cert. or Reg st. f <br />City License Registration f <br />**********...**.**.*********..* <br /> <br /> <br />:R.VTI.DER <br /> <br />Signature <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />KECHAlUCAL <br /> <br />Signature <br /> <br />OTRn <br /> <br /> <br /> <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />