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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME W -1(1 r.U1 :L~CI .) <br />OWNER'S ADDRESS Ion I ~ I~ CI Q l2.. ; ....,-t <br />JOB ADDRESS ( " D \ ~ j-k-l f ~ I (\~- ~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE--.J ~~ ~ - 40 17 <br />S\. Zf"\phuv hdl.s ,:1 (~f <br />( <br /> <br />7~? h \1 \2 I \ ~ \ ~ . '11 3:D~ I <br />f ' <br /> <br />BLOCK <br /> <br />SUBDIVISION ~\ ~ie C). Q ~ <br /> <br />M \..\-.e. <br /> <br />PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PRoPOSED:LNew Construction ~tion ----.Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single F&ldly <br /> <br />_H/F <br /> <br />/ <br />_' of Units t,./M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: ..tr 1\ Q 0 0 n ~'" <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <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 />t/ BUILDING <br /> <br />$ <br /> <br />;l'fCf r tilt) <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAtfIGAL <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 _Fr_e _Steel <br /> <br />D\lHY\1 II U ",-, Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br />~ <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION' <br /> <br />COMPANY V 0 \ 6r (crY'k"')~ \..\ <:..;~ DN <br />State Cert.or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />gg <br /> <br />BUILDER <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiDnAture 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 />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY.. PERMIT OFFICER. <br /> <br />