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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAKE <br /> <br />VJ~G dz: .s I W/JIV1l>~5> <br />0'-1- 3 <.J <br /> <br />PHONE-8 1. ~ - 7 R'z.. - '2) (X) <br /> <br />OWNER'S ADDRESS <br /> <br />,r-rH <br /> <br />sr. <br /> <br />JOB ADDRESS <br /> <br />0t71"""\.1Z: <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.t-JJ - ~ ~ - 2 ( -. 06/ 6 6<9/ DO 0190 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration -Repair _Install <br /> <br />_Sign <br /> <br />--,"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: -=it.Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_lndust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant 1& Health Departaent Approval <br /> <br />DESCRIPnON OF WORK: <br /> <br />!tDn H~4-TfU~ <br />X . I J... '13 Square Feet, <br /> <br />...<; V5 I~. <br />" <br /> <br />BUILDING SIZE: <br /> <br />9 Height <br /> <br />RESIDENTIAL : <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.-PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Signature <br /> <br />,un- <br /> <br />CONTRACTOR SECTION <br />ruV\- <br /> <br />BUILDER <br /> <br /> <br />F.T .RCTRlCIAR <br /> <br />COKPARY--.A 0 ~ ~ (L.s ~ 1- r-<-, <br />State Cert. or Regist. f BP 008 "'2~ <1 <br />City License Registration" 23 I <br />****************************************** <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />n..Jt/.\- <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />IlEClWlICAL L ~ COIlPANY SO'" T t-\~ Co "",~bJ~ ~ <br />- - State Cert. or Regist.' R m t)c 1.-> 6z.... "L... <br />Signature ~ City License Registration' II 0 <br />, ****************************************** <br /> <br />Ny:r <br /> <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />COKPANY <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />