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<br />(J , <br /> <br />, '" 'tJO C(", ~~' ~ APPLICATION FOR PERIIIT <br />(!!, ~ (f)) ,,..' CITY OF ZEPBYRHILLS <br />1q? ;t;h BUlLDIIIG OEPAB1'IlENT <br /> <br /> <br />OWNER'S NAKE f Kennaro ~i hhnn!=: <br /> <br />f21? tfa#fl 2/jZ~ <br />7>,96 r;f - ~ <br /> <br />PHONE 7 8 8 - 9 2 0 0 <br /> <br />OWNER'S ADDRESS 39208 Lizabeth Circle, Zephyrhills, FL 33540 <br />JOB ADDRESS 6440 12th St., Zephyrhills, FL 33540 <br /> <br />LEGAL DEsCRIPTIOII: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction XX Addition -Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single FUlUy <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swu.. Pool ___Other <br /> <br />_Restaurant &: Bealth Depar~ent Approval <br /> <br />DESGRIPTIOII OF WORK: Addition to match existinq buildinq <br />. f? '~II <br />BUILDING SIZE: 1<) , 4 II X? R 'RJ' / I::; 7 Square Feet,~Beight .....- <br /> <br />RESIDENTIAL: ,ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDIIIG 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 />PERMITS REOUESTED <br /> <br />~UILDIIIG <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />_ELEcrRIGAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~CHAIIIGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBIIIG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTRUcnOIl: ...JL..Block _FrHle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOIIS: <br /> <br />FT. <br /> <br />IS PROJECI' III FLOOD ZONE AREA? ...1L- <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACI'OR SECTION <br /> <br /> <br />~ANY J. C. Construction <br />State Cert. or Regist. , <br />City License Registration # (;, r <br />***************************************** <br /> <br />::~=:~~ <br /> <br />COMPANY DOuqlas & Reese, Inc. <br />~ ,State Cut. or Regist. . ER0013529 <br />City License Registration' 277 <br />******* ********************************** <br /> <br />PLUMBER <br /> <br />GOKPANY Jim Mattice Plumbinq <br />State Cert. or Regist. , <br />City License Registration . ~ <br />*....*****************.*********.*..**.*** <br /> <br /> <br />Signature <br /> <br />COMPANY Kinsev Alc <br />State Cert. or Regist. , <br />City License Registration , <br />**..*..*.*.*****..**.********..***.....*** <br /> <br />Q,o s '! /=z. <br />7/ <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registraf'!tM'T----.-.--"h <br />****.****.*.*.***..*.**..*****.***.***;*** <br /> <br />APPLICATION APPROVED BY <br /> <br />1;,uu\J ;Ji ~/ ~ <br /> <br />PERMIT OFFICER. <br />