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<br />~~ <br /> <br />0IiIlER' 5 IIAIlI\ EN e'lCfJlJ I!: IL k 11 'D d&--t~ PJIONE ; 7 R tJ -;1:J/ <'- <br />OIiIlER'S ADDRESS 39p,,92- -1IU..e!4 ~r ft.),'J-f/ s '7" I~ D.: _~ ))J(, <br />JOB ADDRESS :37'~n ;9M p7i,!~r 0~ <br />c ;)....0 // <br />LEGAL DESCRIPTION: LOT(S) ::; 7 BLOCK SUBDIVISION <br />PARCEL I.D.te2~-;<t -.:2/- t.h-tM -/rZ)/PV .- ,{oTiI.;2Y <br /> <br />I APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-----"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Siogle Faaily <br /> <br />_"'F <br /> <br />_' of Units _"/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Depart:lllent Approval <br /> <br />p {j-fL i:: Nod e--L <br /> <br />.s: 1= 7- up ~ <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 & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <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 />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />cmlPANY I<!f AU vi ~ <br />State Cert. or Regist. , <br />City License Registration t .;L.:2.. .3 0 <br />************************** <br /> <br />Signature <br /> <br />RT RCTRICIAR / // COMPANY ~ . A.LLtilUi <br />. JlI y II ~ tG.~ '., 'C' { ,f t"?tI... State Cert. or Regist. t <br />I ~ (4 j60l/~~ City License Registration t <br />****************************************** <br /> <br />/}?7 <br /> <br />Signature <br /> <br /> <br />PLUMBER <br /> <br />COMPANY "-<A) <br />State Cert. or Regist. t <br />City License Registration t <br />* *************************** <br /> <br /> <br />3() <br /> <br />MECHANICAL <br /> <br />COMPANY ~tk-~h~ <br />State Cert. or Regist. # <br />L City License Registration , <br />*************************************** <br /> <br />. <br /> <br />Lf~ <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERH1T OFFICER. <br />