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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATI: RECEIVED <br />PLAItS REVIEW I'BB <br /> <br />OWNER'S NAME LJ &/,///-6- (;.crJCZ" <br />JOB ADDRESS ..r7cs /,F~ cST <br /> <br />PHONE 7r2. ,{:f'~/ <br /> <br />LEGAL DESCRIPTION: LOT(SI BLOCK SUBDIVISION <br />PARCEL ID # J /- 2. t.o- Z--~, - uO 1 0 - (yt 'j 0 t~ - 0 \D HJOBTATN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR ~INSTALL <br /> D SIGN o MOVE ~ DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL ~' OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ftJ&"'.4J"1l-b- C)L---- ~~..;: ~/}!7,A::.sL dzcb <br />BUILDING SIZE J'J~Jf" SQUARE FOOTAGE /fto HEIGHT R/ <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (21 PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ Sj?'7CJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />D PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R,E,C, <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />D ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br />SIGNAWa 0--.-.-.-..-.. <br /> <br />COMPANY ~~t 4tJ~' <br />STATE CERT OR EGIST # ;::)cca:Jf?~/ <br />CITY PROCESSING # /~~ <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />HBCHANlCAL <br /> <br />***********.******************************************************* <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />