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<br />APPLICATION FOR PERKIT ~? r-. .$ ~ - rV <br />CITY OF ZEPBYRHILLS T fl ,....... <br />BUILDING DEPARTtIDT I/-;;J. ';)..-9 g- <br /> <br /> <br />OWNER'S NAHE ..:JOAn 2rjp/lJe)/lis/S1 /lJ/~" '-)~FQj< PHONE2/3 -7M-_"'S7~ yo <br />OWNER'S ADDIlBSS 394&1 C. f{. ,2)4 &s1- Z~LJJ.'IF4,'I/r f'"L33-54o <br />, , <br /> <br />32; 4r1J I C\ I~. 6{ ECA-s-l Z.,. ,oj} / ~ / II') ,r,L <br />, <br />BI.OCL-SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />7 7,j"LO <br />'--...>~ T <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.' 62 -.2(" -:J I - DO 16 -lStO 000 - 06 40 <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-J(New Coastruction -.Addition ,-..Alteration -.Jlepair _lDatall <br /> _Sign -.JIove ---PeIlolish <br />PROPOSED USE: _Single F_ily ---Jt/F _' of Units --.Jf./B <br /> -t-ec-erCial _lDdust. -5wia. Pool _Other <br /> <br />____.:testaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF wo~:J11/1; (<)h/C'AJir /Y}e~,1 ,~/ojrr &e'ldl~/('I r <br />'J v <br />BUILDING SIZB: 30 X 4c ,/200 Square Feet. ~'41' Height al eve' <br /> <br />RBSIDDTI.AL: <br />COtIKERCIAL : <br /> <br />ATTACH (2) PLOT PLAHS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FOBHS. <br />ATTACH (3) SETS OF BUILDING PLANS i: (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />c;\, <br />-L,UIUJ~j L~ <br /> <br />,---- <br /> <br />~ <br />___ S <br />- <br /> <br />PERMITS REQUESTED <br /> <br />700 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />P10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of tlechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOIi: ~loclt _Pnae XSteel Other <br />\ q <br />PI.HISimo FLOOR ELEVATIORS: ~ () PT. IS PROJECT IN FLOOD ZONE AREA., <br /> <br />YES <br /> <br />~ <br /> <br />.......................................... <br /> <br />Rml.DER <br /> <br />'CONTRACTOR SECTION <br /> <br />COHPANY LJ IA/ /1 ",__/ <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br /> <br />Signature <br /> <br />Sionature <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br /> <br />COHlJARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />- <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registr.tion . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAUON APPROVED BY <br /> <br />PERKIT OFFICER. <br />