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<br />OWNER'S NAME 'SAY 1+ <br />JOB ADDRESS 5,5 '-13 <br /> <br />l3eR GeRS <br />I !f 1h s or <br /> <br />/ flQ) / ~ <br />..AJ.;L r;/orlATE BBCBIVBD -1/ '2j) f!XJ' <br />I ~tfjJ PLANS REVIEW I'BB <br /> <br />PHONE 7 8 2-'11 () 3 <br />2ff/JYR /),1/3 .7--L 335'16 <br /> <br />/ <br /> <br />APPLICATION FOR PElWIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPAR'l'YENT <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID # II iG "-, aOlo <br /> <br />1/ 300 <br /> <br />0/00 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION tf(ALTERATION o REPAIR o INSTALL <br /> OSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE:~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK Rt:. RooF GA~aG13 4 t M~/1tI R- F. Ad) 13".11. f("",'1t <br />./ <br />LlS'V 3? I /3 t-r <br />BUILDING SIZE ' A ~ SQUARE FOOTAGE O~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />r:g BUILDING <br />gJ ELECTRICAL <br />Il3 PLUMBING <br />o MECHANICAL <br /> <br />f/. 13~/. R(.J(N11 ,1/1EjN U/lAld.,.".S <br />5l4<rl- ,(~.cJ..{ c:..i/llv-'! <br />HEIGHT I S r.:>~ y <br />, <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 />;0 <br />$ '5 oou. - <br />'foo <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />'i <br /> <br />o <br /> <br />FLORIDA POWER <br /> <br />W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: .. BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES ~NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUHBBR <br /> <br />SIGNATURE <br /> <br />YBCBANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************* <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />******************************************** <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />********************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />