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<br />, '. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPAR'IIIENT <br /> <br />OWNER' S BAtIE <br /> <br />..5 ~ "-\ <br /> <br />~\i~T <br />57d. I 19~ sT <br />/7 ~ S- I <br /> <br />PHONE 7~.s -C}2Z0 <br /> <br />OWNER' S ADDKESS <br /> <br />JOB ADDRESS <br /> <br />5'72/ <br /> <br />LEGAL DIl'SCRIPrlON: LOT(S) <; i 1 BLOCK 1Cf SUBDIVISION <br />I <br /> <br />PARCEL LD.' //- f)J..P-~ ( -00/0- 07900 -co~ <br /> <br />WORK PROPOSED:~Nev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />)(f Single Faaily <br />. <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_H/8 <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Bea1th Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~re Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COKKERCIAL : <br /> <br />ATtACH (2) PLOT PI.MiS 5: (2) SETS OF Bm:LDING PLANS 5: (1) SET ENERGY FORKS. <br />ATtACH (3) SETS OF BffiLDING PLANS 5: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY RIlQtrrRED FOR ALL 8E.V CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />PERIlITS REOUESTED <br />$ ~j.'- 0-0. cr-v Valuation of Total Construction <br /> <br />_ELECl'RIGAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECIWI1CAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLlJlIBING <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCI'lON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />fiNISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />BUILDER. <br /> <br />ELECTR1CIAB COKPARY ~ <br />State Cert. or Regist. , <br />Simn3ture City License Registration , <br />.......................................... <br /> <br />PLUKBER COKPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />KEClL\NIGAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRF.R COHPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATIOR APPROVED BY PERtlIT OFFICER. <br />