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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/j)J( F i t?Tb. CV ' /.:J.-! Y-ft; <br /> <br />'PetU-1 Ell- ~t1P <br />z,.t;o Ck t?UP66 ~ uJC~ J; <br />JOB ADDRESS 4??o Z.O-tb-.5-nz.eb...,- / :t.et'U-'f,../JIU,$. fL. '~5'40 <br />el f> J <br />LEGAL DESCRIPTION: LOT(S) 71.,Z-, T3j 14: r,.lf.oGK SUBDIVISION <br /> <br />OWNER'S ADDRF3S <br /> <br /> <br />PHONE <br /> <br />8'1 <br /> <br />354 (,efl{) <br />7 (55 <br /> <br />OWNER'S <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROII PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-'iew Construction ~ddition ---Alteration ~epair ____Install <br /> ____Sign ---1Iove _Deaolish <br />PROPOSED USE: _Single F_ily ---1I/F _' of Units _II/B <br /> _ec-ercial .$-Indust. _Swia. Pool _Other <br /> <br />-Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK:~~VSI:; ~~$ ,o{ <br />, <br />BUILDING SIZE: X , 1.501000 Square Feet, 2,1., Height @. 12Av"Ei"' <br />, <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 ERERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW GORSTRUCTION. <br /> <br />~UlLDING <br /> <br />PERMITS REOUESTED <br />$ ~/ ~'fSI ~q. 00 Valuation of Total Construction <br />I I <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECllARICAL <br /> <br />$ <br /> <br />Valuation of lIecbanical Installation <br /> <br />_PLUHBIRG GAS ROOFING SPECIALTY . <br />TYPE OF CORSTRUcnON: _Block _F~e VSteel Col(~ Other <br />FUISBED FLOOR ELEVAnORS: MtiqFT. IS PROJEGT IR FLOOD ZONE A1lBA'l -X- <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER ~., ", . *ANY-J)Av, L.I~ Co 1{57. 00., , Me . <br />II/J State Cert. or Regist.' CGCJ:J'rq"U <br />Signature ~ -- City License Registration . ~ '5 ~ <br />.......................................... <br /> <br />RI.RGTRlGIAII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SianAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature _ _. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registra~.i~~ f." ","W' ...._ 1;<!1' .""---", <br />.....................................r..~~,-,.. /,1' f ;- ':~~\ a <br /> <br />~ m t j , " '-~" ~ <br />aAu~ Itz.... if f ',',., PlDIT om~S{) i <br /> <br />, in.,:...r..:.'.I,.r."'.u.',.t..~:I....~ii(';;..,j <br /> <br />Signature <br /> <br />APPLlCATIOR APPROVED BY <br />