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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. I" <br />~ I <br />/);; I-- qA.-- ' /_ <br />U' ^ 'f-;:/ n - o;~ <br />d b-!r <br /> <br />OWNER' 5 NAKE <i< () 5 S 'E I- L l'V\, 'B Ro w 1'-( PHONE "7 '60 . 'l '/5 ?Ji- <br />OWNER'S ADDmiS g ::<35 ti bJ G:. ELtQ COo ~T Z 'H ILL S FL 3,:3 54-( <br />JOB ADDRESS 1+ rli 5 I L VET? (':-, R CC.l~_ 2'_ ' 14 ILL S (=I <_3'5 S- y_ \ <br />) <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C\i l4 L Fot---n- VILLH <;. <br /> <br />PARCEL I. D. t <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: Ls ingle Family <br /> <br />____KIF <br /> <br />_, of Units _H/H <br /> <br />_eo..ercial <br /> <br />____Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: . ~ ~ ~ A bSo{~ J <br />I I ( <br />BUILDING SIZE: '3 Cf X ~~'b2 J 7 () S Square Feet. is Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 />PERMITS REOUESTED <br /> <br />~BUILDING <br />~LEC'TRICAL <br />JHECBANICAL <br />L'PLUHBING <br /> <br />$ <br />100 <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />,/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -L.Block ____Fralle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? \/ <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <7~u Sc,ELc 2? t~ ROr'UN <br />(:J State Cert. or Regist.' .. ('t Co'.!, (I \ <br />11,ll}\.-e Ll 6)1. S~ \.-t'l. L-~ City License Registration' 7...(+- 3> t; 0 <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiROature c;~ t !),~ {2 tt <br /> <br />COMPANY ex lJ SS ELL )V\ '?, Qnl-4.J"-\ <br />, Q . State Cert. or Regist. , R 11 ()() I () ri~ , <br />~ 1: :':>vOLL'\A- City License Registration' \ c? ,1' 'I <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ COMPANY 'XU<;SGLL lYl. (hH.VL01---l <br />State Cert. or Regist., CI= c.c: ::-;~1 q (~ (, <br />' I)',. ~ ),-D~ City License Registration , In 7 ~ J <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />QIfulL <br /> <br />COMPANY <:f< u <;<; EL l 1\t'\M R (\ l u' Id <br />M n State Cert. or Regist. , C ~Cu ~ I Z.:; 4- <br />, r I ' '.l':) ~~ City License Registration' 11,3 8' <br />***********~****************************** <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />