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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPlIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-- uV' 0 <br />Y ~~. , 17 <br />~ /<6 <br />o r I ' J 1> <br />PHONE ~\3 oC{-8Z-084~ <br />Z-~:(ls <br /> <br />" <br /> <br />OWNER I S N~~0 lIS-< 'i'''-J\ evv-J <br />OWNERISADDRESS3'f3;]S s.e, 54- We~~ <br />JOB ADDRESS 3'7<to4. CG(Lt\.J(AJ^-,(.\ PlCive: <br />LEGAL DESCRIPTION: LOT(S) 4'1 BLO~ SUBDIVISION \N(DG~ ""-20<;)D.. <br />PARCEL 1.0.' \0. LiP L l. 6, l.bDOOoo" 04'10 (OBrAt, PRO" PROIERTY TAX NOTJ~~l <br /> <br />WORK PROPOSED:-LNew Construction .' <br />_Addition ---..Alteration -Repair _Install <br /> _Sign -Hove _Dettolish <br />PROPOSED USE: ~le Family _M/F _, of Units _M/H <br /> _CoB.ercial _Indust. _Swim. Pool _Other <br /> <br />-Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:J iU '.u"--~th ~ CA. <br />'dl CD, '9 '" 0. ( <br />BUILDING SIZE: ,37 1 X.JL/ , I Oc:f"-- Square Feet, c....) Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PlANs & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORIIS:; <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />" <br /> <br />_BUILDING <br />_ELECTRICAL <br />_MECHANICAL <br /> <br />$ G, 5/000 <br /> <br />, <br /> <br />PERMTTS REOUESTEU <br /> <br />. ~ <br /> <br />Zou <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />$ ,:J. sOC) <br /> <br />Florida Power Corp. <br /> <br />~R.E.C. <br /> <br />_PLUMBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _BLock ~..... _Steel Other <br />FINISHED FLOoR ELEvATIONS: '6 '\ FT. IS P1lOJEcr IN FLooD 20NE AREA7 <br /> <br />Valuation of Mechanical Installation <br /> <br />I J .~: <br /> <br />,j <br /> <br />~~ <br /> <br />****************************************** <br /> <br />YES <br /> <br />.~ <br />-l:::: .~>:. <br />NO ,.~ <br /> <br />.cONTRACTOR SECT lOti > <br /> <br />BUlLDBII COlIPANY 'R y "'I ,,;u c ~ "" '" ~ '^-c.\-; 0 ~ I 3: A.l ~~ <br />." \ -----0 State Cert. or Regist. . <:.Be '03.SI~4- ,. <br />Sigoa~ ~ ~c-. City Liceose Registration. d "1-'-\ <br />****************************************** <br /> <br />/ <br /> <br />ELECTRTCIAlI ~ COMPANY N I'I<<C-k ~ ~ k.c. +.z.. "- <br />:: /' <br />..---/ . / j State Cert. or Regist. # u- OO\'~~C\ <br />Si..."tur ~'.' . AA4- City Liceose Registration. 8<'f\ 1 <br />~. .........~.............................. 7 <br /> <br />'V <br /> <br />1>LUHBR<< ~ <br />Signature ~~ <br /> <br />COMPANY ~i'\.)N is \..,0'\ l \, A-YVl So <br />{~~ State Cert. or Regist.. R ~ - O<:'Z{" 0 <br />}r - ~ I.- City Uceose Registration . / 'f:L 0, <br />*********** ****************************** <br /> <br />", <br />.li. <br />}ry <br />r <br /> <br />IIECIL\IlIC4.I. COIIPANY e,A Ion' s \=)1LCf'~ d. AJ ~ <br />~ ~ ~ ~ State Gert. or Regist. . €'AP, . "A 3 "I'll", <br />Sigoature - City Liceose Registration . I ., <br />****************************************** <br /> <br />.:u <br />'i';~~ <br />,f <br /> <br />l!IIiEIl ~ COIlPANY ~YMIThJ CbN&<k.G<.J.o", ,r",<1.._ <br />. ~ I -'-- State Cert. or Regiat. . RQ _ 00(0 ( <.l <} ec,: <br />Sigoat~" '--- City Liceose Registration'~:i ;1- <J S;,: <br />~***************************************.* <br /> <br />-~J. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />