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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OIiIlER'S IWl1l ~~ ~ , <br />OWNER'S ADDRESS CJ 3 L/ - 7' Jt<.~ <br />JOB ADDRESS ~ 03 jI--- ~ Y-<- ~ <br /> <br />PHONE '? ~~ ';).. ~ ~ ') <br /> <br />LEGAL DESCRlP'l'ION: LOT(S) BLOCK SUBDIVISION <br />C~~~~.~-.';'.-~--P-d..G,-J/-(:)OIO-;)..I;lOC - (0 ISO (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: V"New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant Ii Health Department Approval <br /> <br />DESCRIPTION OF WORK: ~ Q. ~~ I \ a..)l ~C:> <br />BUILDING SIZE: ) & X \.l-G . ~4 ~ <br /> <br />\)~\\..i~ ~t-\EI) ~....(;,. <br />, -,,?, <br />Square Feet.~ Height <br /> <br />~-\ ~U ,~ <br />~ <br /> <br />, <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _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 />CONTRACTOR SECTION <br /> <br />BIITI.DER. COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.......................................... <br /> <br />F.I.F.CTRICIAN COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />