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<br />APPLICATI01!il FOR PEmnT <br />CITY OF ZEPBYRHILLS <br />BUIUlIBG DEPAR'IHHM <br /> <br />OWNER'S NAtlE Smlri( (]J4Ttle. ~ ~(}u-e <br /> <br />OWNER'S ADDRESS b _~-- / I) <br /> <br />0~/~ <br /> <br />LEGAL DESCRIPI'IOl!i: lDI(S) ~ f/ 1- c;l.. B <br />5e (.J ___.,-wI" <br />PARCEL LD.# L./ . Ol" S R6-e ~I E <br /> <br />WORK PROPOSED: ~ Construction ---..Addition _Alteration _Repair _Install <br /> <br />.T ,Jc. <br /> <br />,PHONE <br /> <br />7g;;2- 0rj()O <br /> <br />JOB ADDRESS <br /> <br />gb,vitVc;o() <br />A~e.vrW,7(}o <br /> <br />IJ.e I(/--G <br /> <br />.o,t?/ tie <br /> <br />BJ..OCK OIJIJ, SUBDIVISION Sf c. (/f/t. OAK.5 <br />'I:J.~')'I - OO;)..D - ~QO- OoA I OAR~ iA~ ~./) ) <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />~F <br /> <br />2-, of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Depart:Jleo.t Approval. <br /> <br />- ( , <br />Square Feet. Si~t.{,(.., 57J/<1 - '8 '!l I Height <br />1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />RESIDENTIAL : <br />COHftERClAL : <br /> <br />ATTACH (2) PLOT PLAlIS &: (2) SEI'S OF BUlLDIliG PLUS &: (1) SET EBERGY FORKS. U <br />AITACH (3) SEI'S OF BUD.DDIG PLUS &: (1) SET EHRRGY FORKS. "'* <br />"'oJ:COPY' OF CONTRAct RIlQUIRIlD. I , <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />_ELECTRICAL <br /> <br />150 <br />..j J/t}tJo ' 0 i) <br /> <br />Valuation of Total Construction <br />AKP Service ~lorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECIIAIlICAL <br /> <br />$ <br /> <br />Valuation of HechanicaI Installation <br /> <br />_PLUMBING <br /> <br />GAS <br />~OCk <br /> <br />ROOFIliG <br /> <br />SPEGlALIT <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_FraIIe _Steel <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVAITONS: fIT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />/ <br /> <br />YES NO <br /> <br />toJ:oJ:oJ:*oJ:oJ:oJ:oJ:******oJ:***-I:oJ:oJ:oJ:oJ:oJ:*oJ:oJ:ttoJ:*oJ:*******.* <br /> <br />cmrJ'RACIOR SECTION <br />" <br />' f) , COI!fPANY &zer~r...ll' ';:;NC, <br />flL 4~~f......... State Cert. or Regist.' Rf.- ao.c6 3Ak <br />Signature ~..1 ~ J:..:. -2 City License Registration' 38'<" <br />oJ:oJ: oJ:*oJ:*oJ:oJ:oJ:"'oJ:oJ:oJ:oJ:*oJ:*oJ:oJ:******oJ:oJ:**oJ:***oJ:~~oJ:*~'_ <br />~~, <br /> <br />::::GIAH~ . COIIPARY <br />A ~~f2 State Cert. or Regist. , <br />. Si ture V /'4n'/Yl City License Registration <br />. ----... ...................................... <br /> <br />BUTTnER <br /> <br /> <br />-1.---- <br /> <br />PLUKBER <br /> <br /> <br />OO!IPAn 6/lWM2r7e- k~/1f&.J0 <br />te Cert./ or Reg is 1:. ,. <br />ity License Regis~ra~iont <br />oJ:oJ:oJ:oJ:oJ:oJ:oJ:**oJ:**oJ:*oJ:*******oJ:**** <br /> <br />~I <br />. <br /> <br />Signature <br /> <br />ltECIIANICAL <br /> <br />( <br /> <br />fi4. .., .. WllPMIY 5'ON/"V.5- <br />, State Cer1:. or Reg is 1:. t <br />.. . #1 City License Registration t <br />I -. ....Z~._..._._.__uu..._. <br /> <br />~.L <br /> <br />Signature <br /> <br />OTHER <br /> <br /> <br />COlfPAliY <br />State Cer1:. or Regist. I <br />City License Registra~ion , <br />oJ:oJ:oJ:*oJ:oJ:oJ:oJ:*oJ:oJ:oJ:oJ:oJ:oJ:oJ:oJ:oJ:**oJ:oJ:**oJ:*oJ:*oJ:oJ:*oJ:oJ:********* <br /> <br />.)i,hV~ ~JA4hL <br /> <br />. <br /> <br />Signature <br /> <br />^PPLICAtl.o~"APPROv,m ,QY: ' <br />, ~ . . I . I -, '. <br /> <br />PERKIT OFFICER. <br /> <br />,', <br />