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<br />APPLICATION fOR PERKIT <br />CITY OP ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE EDL..OAlLf'\ N\C. AOAms. PHONE 76B'i.s;J4-BCo <br />OWNER'S ADDRESS 53~q 6A:..\StAmA Da..'lUc.. - z-h'/l \s <br />JOB ADDRESS SA fY\ e <br />LEGAL DESCRIPTION: LOT(S) \ '2-. BLOCK 6> SUBDIVISION~~~~~ \ S~ A-oo. <br />PARCEL I. D.' 17. - 2(.0 -L.l- (:;(J 4:-D - 00 S- 0 .J 0 I 20 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ddition ----Alteration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~/p _' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OP WORK: <br />BUILDING SIZE: \ ~ <br /> <br />Roo,,^" ~a~-\-{ D6U <br />X 20, ~~D Square Feet, <br /> <br />~( <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMKERCIAL: ATTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OP CONSTRUCTION: _Block _Praae _Steel <br /> <br />Other <br /> <br />FIIUSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************.* <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER ~ COKPAHY ~ ~LU,.1-~~ <br />\ ~ State Cert. or Regist. , <:0' A- <br />Signatur~~ ~ City License Registration' <br />.*********.*............**...*............ <br /> <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.....**..****....**..**.....*.*..**....*.* <br /> <br />({iT c.. {\ e <br />o.~ <br /> <br />SiQTlAture <br /> <br />PLUKBER COKPAHY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****.*****************.******************* <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />*****************..*********.......**.**.. <br /> <br />OTRRR COMPAHY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />..**...*.*.*.**********..***.**.****.***** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />