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<br />APPLICATION FOR PRRKIT <br />CITY OF ZEPBYRHILLS <br />BUJILD1NG DE:PAR1'KE:ltl1T <br /> <br />OWNER r S NAME <br /> <br />!eS7tl <br /> <br />PHO~ '/ f 2 - ;2- Z 76' <br /> <br />OWNER r S ADDRESS <br /> <br />r:'LeJ1S/J;(1I <br /> <br />:5r <br />, <br /> <br />Z'a'Jd~/I1a~ rLA 33r0 <br /> <br />JOB ADDRESS ...5~ <br /> <br />LEGAL DESCRIPTION: IDI'(S) <br /> <br />BL.OCK <br /> <br />ZA::'It".r cPAA::fS'/~ T,eA/Le7L ~ <br />SIJIBDI\"ISION <br /> <br />PARCEL I. D . , <br /> <br />WORK PROPOSED:~lNJew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_Deaolish <br /> <br />1J:~~&tJ1 <br />~H/H <br /> <br />PROPOSED USE: Single Falmil}'" <br /> <br />_H.lF <br /> <br />_, of Units <br /> <br />_CoBaercial <br /> <br />_Indust. <br /> <br />_SW:L.. Pool <br /> <br />Ot:her <br /> <br />_Resblurant &: Health Depart:raent Approval <br /> <br />BUILDING SIZE: <br /> <br />2~ X ~ , <br /> <br />~ ~t!J <br /> <br />Square Feet. <br /> <br />/ S7Z/7 <br />&: (I) SET Rltl1ERGY <br />FOR."fS . ** <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLot' PLUS &: (2) SETS OF BUILDING PIJ\ltl1S <br />ATTACH (3) SETS OF BUILDING PUUI!S &: 0) SET DlERGY <br />.uCOpy OF' CONTRACT REQUJlRllD. <br /> <br />FORMS.** <br /> <br />PE:lmITS REQUESTED <br /> <br />+ BUILDING <br />~ELECTRICAL <br />~ MECHANICAL <br />~ PLUMBING <br /> <br />/ a / "7J'/ <br />$ ~(PL~ Valuation of Total Construction <br /> <br />/ S() AMP Service ~ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />s <br /> <br />/~o <br />A(IA-- GAS <br /> <br />Valuation of Mechanical Installation <br /> <br />/t.J/A- RooFIltl1G <br /> <br />.AJ/fr <br /> <br />SPECIALIT <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_FraJlie _Steel <br /> <br />ft}. 4 '; <br /> <br />Other <br /> <br />FINISHED FLOOR F.:L.EVATIONS: ~//J- FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARR~? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUII.DRR <br /> <br />COfiRACYOR SECT'ION <br /> <br />COHPANIY #-/2 ~;U ~~ <br />j./::~ J: ~~/l? 013. ~.7A-C-St:ate Cert. or Regist. #. __~~ <br />(~ City License Registration #. <br />, *****~*********************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br /> <br />ot:MtPANY c?',A1. vc:v'l. LJA A.J ZCCZ77l/e- <br />State Cert. or Regist. , <br />City License Registration # ~~S- <br />***************************** <br /> <br />5i <br /> <br />PUllKBER <br /> <br />~ CUlfPANY Ald6<MJ X;--J <br /> <br />~ St:ate Gert:. or Regist:. :f# <br />City License Registration i //1% <br />****************************************** <br /> <br />Signature <br /> <br />IlEC8ANICAI. ~ CUlfPOV Ji,,/h<.S ~ &;,~ <br />Xl St:ate Cert:. or Regist:. i <br />Signature ~ Ak V.A. ~ Cit.y License Registration * <br />~ ~, ........ ................................. <br /> <br />..~. ..L /'-'i.- <br /> <br />.p- ;?J{ <br /> <br />OTHER. <br /> <br />001lPAfi <br />S~ate Cert. or Regist. :f# <br />Ci~ License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~'f <br /> <br />';"'". <br /> <br />PERHIT OFFICER. <br /> <br />> ..'"A-'"'*.::'''''''........,,,/. .\.~_ <br /> <br />A..:.i.. <br /> <br />.. ,t. <br /> <br />,~o <br /> <br />> it. <br /> <br />"~.....---..:,..fiI.'..t1.-.'...' <br /> <br />4..." <br /> <br />.... <br />