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<br />. .. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME G~ v~ / cI W" <br /> <br />E/J5 <br /> <br />PHONE <br /> <br />'jf If' tll! # <br />. <br /> <br />OWNER'S ADDRESS 6-? J: C / ~ ~ ><7 "'" ~,.. .r <br />JOB ADDRESS Z -e" ~',y'tr I; /is / ~/ <br />, <br /> <br />Y.?sYO <br /> <br />LEGAL DESCRIPTION: LOT(S) / Z, /~, /7,t';2C> BLOCK 7/ SUBDIVISION <br />PARCEL I.D.' 1/- -:J.t -~/-CJ% - d7/C7tJ-tJI70 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition --...Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />\. <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant Ii Health Departaent Approval <br />DESCRIPTION OF WORK: If ~ J? /ciJ Co ~ R t1-;;~ ? e:? yo C " /' /d' ~ V- <br /> <br />:l. V t? S't~ At: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ 7.00 .,.cau <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1tECBABICAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />....************************************** <br /> <br />BIJII.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <"'u-r#fr~ h/l f Rfr r <br />State Cert. or Regist. , ~'2fL2. <br />City License Registration' ______ 7 <br />*.**************************************** <br /> <br />Signature <br /> <br />SignAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <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 />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />