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<br />',. (i\ I'D ( t <br />IJ Cl (>fl.f '_---- <br />1\0 ,/'"'~ <br />/' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE fI '<t- t? I flier s.f It fe fYl at,' Ie /{.{)t1I.fS PHONE Y (3 - 7 8" ~ - 'J-a 7' <br /> <br />OIillER'S ADOIlESS 3~~ 7 II~{- 1" tJ 292l.rrl,;!/s 3sS<f/ <br />JOB ADDRESs4?6 t9 X.un! [ItS ,~e t /01 J..o + IT/( of lof 11=' C).J <br /> <br />LEGAL DESCRIPTION: LOT(S) &1 ..... ~4,d i..fJCBLOCK SUBDIVISION 2etJA Vl' ~.~ €- <br />I ( v <br />PARCEL I. D.' 03- d.. '" - d I - 0 3 to'~ 60 CO(J - 0021 0 (OBTAIN FROM PROPERTY TAX NOJICE) <br /> <br />,/' <br /> <br />WORK PROPOSED:_New Construction _Addition ----^lteration _Repair V Install <br /> <br /> _Sign _Move _Deaolish <br /> / <br />PROPOSED USE: ~ingle FuallY _M/F _' of Units <br /> _eo..ercial _Indust. _Swia. Pool <br /> <br />~H <br />O$r <br />~.rf~c+ul'ed <br /> <br />H 0"'1 e.... <br /> <br />_Restaurant & Health DepartBent Approval . <br /> <br />DESCRIPTION OF WORK: .set Uf new (\'\" ~'\ J-PI\(i ureJ h Otl1-€....- <br /> <br />BUILDING SIZE: ~8" X ({;8 " /101' Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~WING <br /> <br />~crnGAL <br />~~ <br /> <br />PERKITS REOUESTED <br /> <br />$ 34, aoo <br /> <br />, <br /> <br />t!:) 0 AMP Service <br />$ / {t;O <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />./ <br />//' <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: Block _FrSlle _Steel Mitt Other <br />, <br />FINISHED FLOOR ELEVATIONS:~FT. IS PROJECT IN FLOOD ZONE AREA? <br />YES <br /> <br />v'/ <br /> <br />.................................********* <br /> <br />NO <br /> <br />Signature <br /> <br /> <br />COMPANY ~./- If <br />State Cert. or Regist. . <br />City License Registration' /70 <br />........*......*.*...*..*****.***** <br /> <br />PLUMBER COMPANY ff -l- r< r,,-fersfA-fe. <br />~~ State Cert. or Regist. . <br />Signature ..{'/~......-~ City License Registration' ~7(e <br />~ *.*..*..*******.****.****.*.****.********* <br /> <br />/ COMPANY Aft h r ~ (1oiJII *1. Q <br />State Cert. or Regist! . <br />City License Registration . <br />**...******~*********.*****************.** <br /> <br /> <br />BUILDER <br /> <br />Signatur~ 11ft &4fel:12 (j <br /> <br />COMPANY Di;ito..-f!.je(J (t1Ji Ie <br />State Cert. or Regist. . <br />City License Registration . <br />***.******.***************.*************** <br /> <br />110 ht e ~e r v,'c €- <br /> <br />M,I-(, <br /> <br />G~s + I!i/C <br />/7 <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.***.**.*********************************. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />