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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDINGDEPARTKENT <br /> <br />OWNER'S NAKE '- 1m fl Cl'rJ fl <br />OWNER'S ADDRESS .5L/3 c? / j?m,,--S7Y~~+ <br />JOB ADDRESS ~Am ~ <br />LEGAL DESCRIPTION: LOT(S) ();)..Q( BLOCK 1L/50~UBDIVISION 00/ 0 <br />PARCEL 1.D.' II-Jl~-:J.I --(Y)J () -/L/ScX:) -rnu I (OBTAIN FROM PROPEaTY TAX NOTICE) <br /> <br />PHONE <br /> <br />313- 7&1-9/0] <br /> <br />WORK PROPOSED:_New Construction -Addition ---..A1teration ~epair _Install <br /> _Sign -Jove -Deaolish <br />PROPOSED USE: ~SiDgle Faaily -J/F _, of Units --J{/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />--Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: if /- rtrzrb <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 FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />$ ~ ',lr~0. DO <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELEcnuCAL <br />-KECHAIIICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation'of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />ELECTRIC~ <br /> <br /> <br />CONTRACTOR SECTIO~ <br /> <br />BUlLDEIl <br /> <br />COMPANY ru <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 />PLUMB~ <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />HECHANTCAl.t <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br /> <br />COIIPANY '?1~ !VltJ/l') ~~~ /'?LJ <br />State Cert. . r Regist. . .- ( , Lf~ ' <br />City License Registration # <br />************************************ <br /> <br />APPLICATION APPRO <br /> <br />. , <br /> <br />..,~.,,-. . <br /> <br />PERMIT OFFICER. <br />