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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />l . <br />(l !pU p- ,c;U <br />,~.~~\ q ~J / ( <br /> <br />OWNER'S NAME ~obp\+ We\ I"r) 0\. <br />OWNER'S ADDRESS (/J~,-"')3 <br />JOB ADDRESS Ze;:;hqrh j / /::>, <br />LEGAL DESCRIPTION: LOT(S) Ji 3J.j <br />PARCEL I.D.' ()l~ - ~(k' - ~ J <br /> <br />PHONE <br /> <br />?8~ - 379l~ <br /> <br />~ II r--. -\-- \ Y'\. G -\-n 1""\ q-)r- <br />d2 (j <br />. 'L . { =1',,=3/'5 L/ J <br /> <br />SUBDIVISION (~i' t )e'_\ <br />0000 <br /> <br />()Qks <br /> <br />BLOCK <br /> <br />/)L~O <br /> <br />WORK PROPOSED: _New Construction _Addition _Alteration _Repair - Install <br /> _Sign Move _Demolish <br />PROPOSED USE: Single Family _M/F _, of Units _M/H <br /> _Co_ercial Indust. Swim. Pool Other <br /> - ---- <br /> <br />_Restaurant &: Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x_, <br /> <br />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 />$ ~ c;6C6 Valuation of Total Construction <br /> <br />BUILDING <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 GAS ROOFING <br />TYPE OF CONSTRUCTION: Block _Frame _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />ELECTRICIAN <br /> <br /> <br />BUILDER <br />Signature " <br /> <br />CONTRACTOR SEC'l'IO~ ~ D " _ ~ <br /> <br />COMPANYJJ '''''-A. ,~ \\ ~ ~ <- <br />State Ce t. or Regist. I C Pc..' ~ ~ 'S" <''-4 )--. <br />City License Registration, 020 <br />****************************************** <br /> <br />COMPANY ~A--/A~/?~ <br />State Cert. or Regist.' 00 lob;' 7 <br />City License Registration I ;; 9 <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MBER ~ <br />Signat /<? / <br />APPLICATION APPROVED BY <br /> <br />COMPANY ~)1;;. #U~fi-'~ <br />State Ce'rt. or Regist. ., RX: ~~ <br />City License Registration, <br />****************************************** <br /> <br />PERMIT OFFICER. <br />