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<br />/ <br />.I <br />/ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/1 <br /> <br />OWNER'S NAME <br /> <br />G~y <br /> <br />-.. .I <br /> <br />OWNER'S ADDRESS ,3;3 CD <br />ch>/ 51 <br /> <br />JOB ADDRESS <br /> <br />;( uT1fV!- RJR)J <br />~dmU U5'/ <]) , <br />b7 I ' ~ <br />~ o/.V-r-. <br /> <br />PHONE <br /> <br />7~~ ~ Ifl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:_New Construction _Addition <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br />_Alteration _Repair ~nstall <br /> <br />PARCEL LD.I <br /> <br />_Sign <br /> <br />-.Jlove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_H/F <br /> <br />_# of Units _H/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: 75 / AJ S77f1C It ~ ~ <br /> <br />BUILDING SIZE: -Lx(() , /, Square Feet, <br /> <br />ry/o <br />, <br /> <br />~ <br /> <br />St3/W <br /> <br />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 />_BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />I Cf' f;tj . d'l) Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAHICAL <br /> <br />$ <br /> <br />.. <br /> <br />Valuation of Mechanical Installation <br />" <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8Jlle _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 />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ COMPANY 9c1,u577t7-S <br />~../ / / //~ . - - ~~"'> State Cert. or Regist. . <br />, ..- ..-- <br />_//' City License Registration' <br />****************************************** <br /> <br />4-Lu If ('/(/ i/f7 <br />70' <br /> <br />Signature <br />" <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />Sianature City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert, or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration * <br />****************************************** <br /> <br />OTHF.R COMPANY <br />State Cert, or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />