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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE bEN CflA L b<= DC:kV~ I.oPhJC/./hoNE g/3 ~ ~'6 '7 - (,Sg/ <br />OWNER'S ADDRBSsrD/D2 S. ? t::1J- sreeET DAdE C, TV -/7-" <br /> <br />. <br /> <br />JOB ADDRESs.3g '1</~,' 364t1tf;3<6 4i..f~i 3~4'1g COnON iVo~J, 'jJ~ <br />LEGAL DESCRIPTION: LOT(S)/{)7~ iDg~ Idj ;;1) BLOCK SUBDIVISION i)i:/f"T-wood. VillAge <br />r , r <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction ----"ddition ---..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--lI/F _, of Units _M/D <br /> <br />_~rcial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Dealth Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~O)( bDreEE ~rANd(f\.'1 CA~~o~T <br /> <br />J, . ' <br /> <br />BUILDING SIZE:;)O X ~CJ . Square Feet.Elrofd' 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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERHITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />--"ECBAIIIGAL <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br /> <br />XX <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSBED FLOOR ELEVAnONS: <br /> <br />Fl' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />m.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />KECIIANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY -d 1., L f.}R /S e <br />~A r2J~ ( State Cert. or Regist. , <br />c.~(),w 0/. ~~ City License Registration . <br />, *************************************** <br /> <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~: f- <br />I .... ~,.Ii ; <br /> <br />" PERMIT OFFICER': <br />