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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />l:} --1/11 <br /> <br />OWN8R'S IWIB :& ENe f!/-::: <br />OWNER'S ADDRESS ~..3 cXJ~ M: >> . , <k- <br />, <br /> <br />JOB ADDRESS ~<)~J'l-It{ ~ <br />LEGAL DESCRIPTION: LOT(S) #87 BLOCK <br />PARCEL I.D.' 01-1-.2(;.-;2/- ~ -trt)//rt) <br /> <br />~k} 'tI8 <br /> <br />PHONE f/.:$ - ?~O - "'Id./7 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FaOM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units -----1f./H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant lie Health Departaent Approval <br /> <br />f?&/f j( jlj tJcI eL <br /> <br />cS'eJ2uLJ <br />, <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDERTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fECllARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />F.T .F.CTRICIAB <br />SignAture ~/J ~(7U/l- <br /> <br />BIJJl.DER ~ COMPANY. . <br />1..d~" State Cert. or Regist. , <br />Signature ./l~ City License Registration . <br />*********** *************************** <br /> <br />COMPANY {&,.d' <br />State Cert. or Regist. . <br />City License Registration' /"'7 <br />****************************************** <br /> <br />lXIlPAHY ~ 4 (~~ <br />State Cert. or Regist. , <br />City License Registration t ~~~~ <br />************************** <br /> <br />PLUMBER <br /> <br /> <br />Signature <br /> <br />MECHANICAL COMPANY ()A 0 <br />~11-effC?'CA/2..- State Cert. or Regist. t <br />Signature City License Registration ,4s <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />