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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~{l,~~() M\~ PHONE 7BB.. 7B~7 <br /> <br />OWNER'S ADDRESS 533te '~a"""AA-~ l "ZEQH\IQ I.t\~ 'M.... <br />~ t <br />JOB ADDRESS S~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOGlL--SUBDIVISION <br />PARCEL I.D.' 12- 2(0- Z\- ~30 - 0:::>400 ~(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ----Addition ~teration ~epair _Install <br /> _Sign -.J(ove _Deaolish <br />PROPOSED USE: ~Single Faaily _KIF _' of Units _K/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />~~OC~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />PERKITS REOUESTED <br />2, 340...~ Valuation of Total Construction <br />. <br /> <br />_ELECTRICAL <br /> <br />NIP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />---1'IEGHANI.CAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />>< <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'l'OR SECTION <br /> <br />BUT IllER <br /> <br />/ <br /> <br />/ <br /> <br />COKPANY <br />State Cert. or Regist. <br />City License Registr ion' <br />*********************************** ***** <br /> <br />Signature <br /> <br />:.::: <br /> <br />/ <br /> <br />./ <br /> <br />COMPANY <br />State Cert. or Regis <br />City License Regis ation' <br />********************************* ******* <br /> <br /> <br />PLUMBER <br /> <br />/ <br />/ <br /> <br />COMPANY <br />State Cert. or Re . t. . <br />City License Re <br />******************************* <br /> <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />/ <br /> <br />'" <br /> <br />COMPANY <br />State Cert. or R <br />City License R istration' <br />****************************** *********** <br /> <br />()THRR G2J COIlPANY ScM~ 4k,\OI~(,.. <br />State Cert. or Regist.' R~~S'<O"'b~ <br />Signature -. - City License Registration , 2%~ <br />.~~................................. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />