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<br />OWNER'S NAHE <br /> <br />APPLICAnON FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPAImfENT <br />~ C~~J0 <br />C~;If~6 ~..e/t!)C- lJ-i.y PHONE <br />I <br />~ <{ :;t ~s- a t-L- Ih/ 6-' . <br />Zd1f(,R1fr CLS / K.. :'3 35'1 ( <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL !.D.' / I d-- ~ ..2... ( <br />WORK PROPOSED:~ew Construction <br /> <br />BLOClL.--SUBDIVISION <br />0/30 <br />OO/D O~30() (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />---.Addition --..Al.teration ---..Jlepair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />-Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--.Jf./F _, of Units --.Jf./H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Jlestaurant & Health Departaent Approval <br />DESCRIPTIOII OF WORK: 00 I,<)<?~C- tf-Y-ro S70~~ 5~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDING <br /> <br />$ <br /> <br />}O() -nJ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIEClWlICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Inst:allation <br /> <br />-PLUHBIIIG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTRUCl'IOR: _Bloc1t _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnORS: <br /> <br />Fl' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />RITU .DER <br /> <br />~7p~ <br />/./~ <br />~v <br /> <br />CORTRACTOR SECTION <br /> <br />COKPARY 5rJv~"/~ JIlC(jI(t'~1/ <br />~ State Cert. or Ilqist. . <br />-" ;z.... City License Registration . <br />......................................... <br /> <br />77 <br /> <br />Signature <br /> <br />RT.JO:CTRICIAII COMPANY <br />State Cert. or Regist. , <br />Siooature City License Registration , <br />.......................................... <br /> <br />PLIDIBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />HECIIAliICAL COKPARY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRll COKPARY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICAnOR APPROVED BY PERMIT OFFICER. <br />