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<br />, ... # ~ ,~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTKENT <br /> <br />_'5 _ JULY <br />OWNER'S ADDUSS I 'II 3 <br />JO~ ADDRESS SA""., i <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />150'( r <br />rfTh ..5T <br /> <br />PHONE <br /> <br />71' 2. 3 flY' / <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' () / - l 6 - 2 1- 00 /'0 - I 2/0 ~ .. 01/ 0 (O~TAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction -.--.Addition -JIteration _Repair ~nstall 4jc:.. <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_~rcial <br /> <br />--.J'l/F <br />_Indust. <br /> <br />_' of Units _M/H <br /> <br />_Swia. Pool _Other <br /> <br />---..Restaurant I( Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: T ,r.J S r "1 / I -e W, . r2. f <br /> <br />A,/c <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 I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECT.RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--"ECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLUHBDiG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF mRsTRucnoN: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAUONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRAC'l'OR SECTION <br /> <br />RUlI.DER <br /> <br />COKPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />:::CIAR~ <br /> <br />... C LLe, .AfJ <br /> <br />~~~ <br />~ State Cert. or Regist. . <br />City License Registration . <br />. . ...................................... <br /> <br />J?V <br /> <br />PLUMBER COKPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />tlEClWlICAL COKPAIIY L1;lJ#~ I..J he",,^,; ~;J4J~. #/c.. <br />State Cert. or Regist. . ell CttI.{J,I,I,R <br />Signature City License Registration . /7 <br />.......................................... <br /> <br /> <br />OTRRR COKPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAUON APPROVED BY PERMIT OFFICER, <br />