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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED f- /h- !)!3 <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ? It (T <br /> <br />JOB ADDRESS 7 0 7 ~ . <br />I <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />\N C{ rol <br />7Th) -r Z{fl; y rill/Is <br /> <br />PHONE <br /> <br />7fj3-1?~Y <br /> <br />~L <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN <br /> <br />FROM /PERTY <br /> <br />ty'REPAIR <br /> <br />TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />OS~N <br />USE:~GL FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH <br />( A q 1/1 J e () (/-1- <br /> <br />DEPARTMENT APPROVAL <br />H e?r fj1v""-1 //. <br />! I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />o ELECTRICAL <br /> <br />AMP <br /> <br />PE::T:O::~7:::NSTRUCTIO< ~1 Jt <br /> <br /> <br />SERVICE 0 FLORIDA POWER D~.R.E.C. __/// <br /> <br /> <br />............._,._..~-----.---- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />o P~BING <br />~ECHANICAL <br /> <br />$ <br /> <br />),9CO <br />I <br />o SPECIALTY <br /> <br />,?/) <br />~ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br />SIGNATURE /- <br /> <br />* * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * tI*;RJ* * * * * * * * t * * <br />COMPANY V, /7. ~ <br /> <br /> <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br /> <br />*********************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />