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<br />-o,t7Dt; <br />jJRf:/13 -1 <br /> <br />0llIiER · s I1AIlJl t.J!'\-(LV \ "" \Y\u" \ So \ ~~ UI,,:j \i? y ('{I A ,J PHON/LC} f'J"7. 0 () 2 s- <br />OWNER'S ADDRESS S <0 .~q ~~ ~)--{" - 4~k" Q~ J Fl . <br />JOB ADDIlESS ,. 'I 8'0, <)Q ~ i(j A. .J' ~ <br />4-- BLOCK SUBDIVISION (SA \( C R..<::~+ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.' b') -;}Co ,a. 1- 00 \0' OCf36D ' 0040 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: V'liew Construction _Addition _Alteration _Repair _Install <br /> _Sign -.Move _Deaolish <br />PROPOSED USE: ~iDg1e Faaily -.MIF _' of Units _M/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant Ii Health Department Approval <br /> <br />DESCRIPTION OF WORK: .~) '\i)~~J <br /> <br />BUILDING SIZE: ~,\"-ol.a3 Square Feet, ~ Height <br /> <br />RESIDENTIAL: A'lTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COMMERCIAL: A'lTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 5 e, }fOO (' - <br />I <br />~ 0 0 AHP Service <br /> <br />Valuation of Total Construction <br />~lOrida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br />---lIEClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~UKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: ~lOCIt _Fraae _Steel Other <br />FlllISHED FLOOR ELEVAnONS: 1) S- FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES <br /> <br />X <br />NO <br /> <br />BIJTI.DER ( <br />Signat~ ..... <br /> <br />CONTRACTOR SECTION <br /> <br />--2 COMPANY Q~~ C~~~~ <br />State Cert.' or Regist. tCtS0: 0 3~\ ~4- <br />~CA,_ City License Registration' ~q. <br />****************************************** <br /> <br />~' <br /> <br />ELECTRICIAN /- ...' COMPANY"--mCv~' ~ Cl~ <br />-::::- :/\.J . - ~~ (, , State Cert. or Regist. , E:\2, ()..QJ'~44c-\ <br />5 -- e jJ') )0: '"'-- '\, ~ \) '--\ \ City License Registration' ~ ~ ?' "l <br />************...*************************** <br /> <br />PLmm~ER.~' J r..3 COMPANY C\j ~I\MJ\ l.;:JJ2..h~ <br />' State Cert. or Regist. , 12.~~~~ Q <br />Sigoa- - -. City License Registration' / r ,),,0 <br />** ************************************** <br /> <br />) COMPANY ~-\~ -'~YTh ovvu.. -+- A Q.. <br />?So h^,-I .\ ) State Cert. or Regist. t A. - 04 ~ <br />~~_ City License Registration' <br />****************************************** <br /> <br />OTRRR ~ /_- co~~1?~GV~ ~ <br /> <br />. / \-) State CertU or Regist. , e c - 6 t:1.c I (p4 9, <br />Signatur ~ ~ City License Registration f S9.> <br />****************************************** <br /> <br />~ <br /> <br />~ <br /> <br />KEGBARIGAL !. __ <br />\f/--- <br />Signature I J-0~ <br /> <br /> <br />v- <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />