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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~ ~R "It'\tersf41e... t11J,;te. 8otl1es <br />OWNER'S ADDRESS ,s5'~, 7 tlw(' 5(1- Z~riyr h,'US <br />JOB ADDRESS Lot ~if Z.phyr R;Jje. - <br /> <br />PHONE ~/3-7fd.-~7~ <br />'33 '3)'1 I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 03-;t(;,-oU-C310-00000 - OO'-/-eJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --^lteration _Repair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br /> <br />v:.:: F..fly <br /> <br />_Move <br /> <br />_DeJIOlish <br /> <br />_M/F <br /> <br />-' of Units -!YJI <br /> <br />_Swia. Pool ~th~r.J... I <br />t11"." vf-'f'tC , () r-e d <br /> <br /> <br />ho ff[(J <br /> <br />/toll( e. <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: I1~;f*1( (ljecJ ft1/f11c.J ..{~C-ful'pj <br />/' LiP' <br />BUILDING SIZE: ~x...:I.fL-. /98.0 / Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PWT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />~YUCTRICAL <br />~CHAlUCAL <br />~PLUKB~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ dZ/f50 <br /> <br />. <br /> <br />/:50 AKP Service <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />~C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: Block Fraae Steel H,J;I <br />FlRlSIIEII FLDOR ELEVATIONS ,4FT . - IS i>::-ECT IN FLOOD ZONE AREA1 <br />.......................................... <br /> <br />Other <br /> <br />/ <br /> <br />YES <br /> <br />NO <br /> <br />HEGllANI~~ <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER AJ ~ COIIFANY f3v1hr f':€.(d tI106de. II,,,,Q <br /> <br />State Cert. or Regist. , ~/ <br />Signature City License Registration , tf <br />~ ......................................... <br /> <br />ELECTRlClA1l~ COfIPANY [}kre~n J;;rdl/'1 <br />:::::::: State Cert. or Regist. , <br />~ ,e .. City License Registration' /71'l <br />~ . ...................................*... <br /> <br />PLOIIBEI\ ~ ~ COfIPANY H-<-I?, IV\fer3f~+e <br />~ - State Cert. or Regist. , <br />Signature City License Registration , <br />~ .....~.................................... <br /> <br />COMPANY f)(th t S frDOIIYle- <br />State Cert. or Regist.l, <br />City License Registration , <br />.......~....*.......*.........*...*... <br /> <br />Se rVlt <2... <br /> <br />Mil- <br /> <br /> <br />~'70 <br />L614~/ c. <br /> <br />I <br /> <br />17 <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />................................*.....***. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />