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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER'S NAME fr r a It (I /-/() I' ;' z. () If <br />j';> <br />JOB ADDRESS "..:... af :5 8" d 7 Lj I~ <br /> <br />PHONE <br /> <br />If) e td::'15 In <br /> <br />/I tie <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J SIGN <br /> <br />[J ADDITION [JALTERATION [J REPAIR [J INSTALL <br />[J MOVE [J DEMOLISH <br />[JMULTI-FAMILY [J# OF UNITS E1M~LE HOME <br />[J INDUSTRIAL [J SWIMMING POOL [J OTHER <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />PERMITS REQUESTED <br /> <br />[J BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />[J ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARFA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br />SIGNATURE 0 (.~ {J-~J <br /> <br />COMPANY tJ~ <br />STATE CERT OR REGIST # U (/ <br />CITY PROCESSING # ~o <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />/ f...~L,j~~---'l <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # / g 7 <br /> <br />A~-'L. <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />~, <br /> <br /># <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />~.,j;~~ <br /> <br />MECHANICAL <br /> <br />* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *~ * * * ** * * * * * * * * * <br />COMPANY ,J.7f' --- <br /> <br />SIGNATURE <br /> <br />w~q-A;;J <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # L]i:> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />