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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME E#;/f fkr-TtJlJJ1M/.... <br />OWNER'S ADDRESS "37.Vla cr;ti AiU/A ((- /J II.. <br />JOB ADDRESS 37V/~ ~~A/WA(( blL <br /> <br />PBONE?r/).7~ -br1fO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br /> <br />teration _Repair _Install <br /> <br />WORK PROPOSED:_New Construction _Addition <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF _' of Units _K/B <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Bealth Departaent Approval <br /> <br />A (7pl\_ r#c ~10 lv/A&- <br /> <br />(iJA/e SIv7JPA., <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Beight <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />CottKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. 0t3-' 7 <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, I-&"O 0 ~ q SD <br /> <br />PERMITS REOUESTED f, y1 ).3 q <br /> <br />-BUILDING <br />-X-ELECTRICAL <br />~C&AHICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R,E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVATIORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />BIITT.DD <br /> <br />COMPANY l/t'J.l-,9- Vt//J--/ <br />c:-- State Cert. or Regist~ . Set: (') J(tJ..r~7Y <br />~, City License Registration' ~ <br />.. ......................................... '-fa ~ ~ <br /> <br />. COMPANY I/lJkC) ~ d-- J-O '!5!-- cO- . <br />State Cert. or Regist.' ..t:; LRnr) ~~A9' <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist, . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist, t <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist, t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />