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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />tI~Ll> <br /> <br />5"/5 7 GItLL- t?Z ~ <br /> <br />~ J3 1> </:>" Cf; 1< 1!! t: CZ> I DO.. (, i:J/) <br />LEGAL DESCRIPTION: LOT(S) ! (~ BLOCK SUBDIVISION <br /> <br />;;L.~ <br /> <br />PHONE <br /> <br />ZE,:2- <br /> <br />(5)>-:3 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />0/,3 () <br /> <br />PARCEL 1.D.' <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />Move <br /> <br />Demolish <br /> <br />PROPOSED USE: <br /> <br />Single Family <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />_M/H <br /> <br />Comercial <br /> <br />_Indust. ____Swim. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant &: Health Department Approval <br />tl- X }O, f? ~~ 5/1t-O Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />BUILDING <br /> <br />$ <br /> <br />J-7C1Cf <br /> <br />Valuation of Total Construction <br /> <br />ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: Block ____Frame Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ /J . COMPANY g c)~5 T~ #(, dlf ~ d"1' <br />S ~ State Cert. or Regist. , <br />() ..v :5 T7t Ci ty License Registration # 7 7 <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />