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<br />SN jb0 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />", <br /> <br />(/S'?fB S-~~ <br /> <br />i <br /> <br />OWNER' S NAHE.SOZailla ~~,~~ ~. L~.) I I J )-:S PHONE -; ) ~ ') "7 -7 q - 7,9.-5'3 <br />, I <br /> <br />:::~~~ ():5 -.31h r1I -<- , d -ph r:2,h.) l~ 4'1')3:5 42 . <br /> <br />LEGAL DESCRIPTION: LOT(S) 15 BLOCK' SUBDIVISION 2 \ it f S <br />PARCEL I.D.' ,/2 - 2 L,- 2 ( - ()() <f () -CO} 00 - ~~rt~ FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:-0ew Construction _Addition _Alteration _Repair _Install <br /> <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units <br />~Wia. Pool <br /> <br />_H/H <br /> <br />/ <br />rJ O&- j <br />~/e, <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: SW)~rw\'*\ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />JSJI{s-o <br /> <br />, <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCIION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~O~1i IOWN P 00\ 5 +,/\ c.. <br />State Cert. or Regis t. , Co Pc- 0 S(, 'Ill I <br />Signature City License Registration t <br />,~~ ******~** ******************************** <br />~ ES ~,VJ J l\ IS COHPAIiY-1-\ iOfY\lf -O.l)(\C(Z <br />~ State Cert. or Regist. # - <br />u ~~-~~~~ City License Registration t <br />r. ****************************************** <br /> <br />PLUMBER ')).:> J COMPANY Howu:.,oWI\! fo{)L.5 :1'11 c.... <br />State Cert. or Regist. , <:. pc. OS'(,1~' <br />City License Registration t <br />****************************************** <br /> <br />I~' <br /> <br />,'" r-... <br />"'} "-' <br /> <br />BUTT.DER <br /> <br /> <br />Signature <br /> <br /> <br />HECHABICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />***********~****************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />!..'f.~~.;" ~, ' <br /> <br />APPLICATION APPROVED BY PERMIT OFFICeR. <br />