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<br />?7?F-.2O' ,"rV <br />v-;J~ -9? <br /> <br />OWNER'S NAHE ..:JOAn &/(?/IJfL~/.EisIS1- /lJ/~" S~FQj< PHONE213 -7M-_"'S7~ yo <br />OWNER'S ADDIlBSS 394~1 C. R, ,2)4 &s1- Z~LJJ.'IF4,'l!r f'"L 33-540 <br />, , <br /> <br />384[1) I C\ N. 6~ &s-l Z-rJ'JAti/ ~/!/) ,r.L- 53S'-ro <br />, <br />LEGAL DESCRIPTION: LOT(S) BI.OCL-SUBDIVISION <br /> <br />PARCEL I.D.' 62 -.2(" -:J I - DO 16 -lStO 000 - OG 40 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPAR'11IERT <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED:-J(New Coastruction -.Addition ,-..Alteration -.Jlepair _lDatall <br /> _Sign -.JIove ->>eIIOlish <br />PROPOSED USE: _Single F_ily ---Jt/F _' of Units --.Jf./B <br /> -t-ec-erCial _lDdust. _Swia. Pool _Other <br /> <br />____.:testaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF wo~:J11/1; {<)h/aqr /Y}e~1 ,)h,,/ojrr &,'/d/:,q r <br />,0/ v <br />BUILDING SIZE: dO X 40 .' (?T)6 ~uare Peet. J'41' Height al eve' <br /> <br />RBSIDDTI.AL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FOBHS. <br />COtIKERCIAL: ATTACH (3) SETS OP BUILDING PLANS &: (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/::., <br /> <br />~UIUJu0J $ <br />---. <br />--, <br /> <br />, _ ,.,~. .-". -'~ . - ..' - <br /> <br />-- <br /> <br />PERMITS REQUESTED <br />14) r9 0 () Valuation of Total Construction <br /> <br />AMP Service ,P1orida Power Corp. <br />Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OP CORSTRUcnON: ~loclt _Pnae LSteel Other <br /> <br />PI.HISimo FLOOR ELEVATIONS:~ 0 \~. IS PROJECT IN FLOOD ZONE AREA., .X- <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />Signature <br /> <br />'CONTRACTOR SECTION <br /> <br />COHPANY () IA/ /l P /' <br />State Cert. or Regist. . <br />"\.,../" City License Registration . <br />.......................................... <br /> <br />Rml.DER <br /> <br />Sionature <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br /> <br />COttPANY <br />State Cert. or Resist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />.~ <br /> <br />Signature <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />~I <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />APPLICAUON APPROVED BY <br /> <br />PERKIT OFFICER. <br />