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<br />~PLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OwNER'S NAME r/ //-1/70k' Trsc~~-'/~ u J <br /> <br /> <br />OWNER t S ADDRESS ,-"3 <g /;J .L./ ;;;;,J r]/~I' pL<J 17 L/~ /-/p f- <br /> <br />JOB ADDRESS (y dd. / :S'/I/'I'#J oaRs /::>R/vf <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) l/7 /.} BweR SUBDIVISION 5/ h./..p /c? cJ /l-R' <) <br /> <br />PARCEL 1.0.' ()3'-~(p- a..'-6/~Jt-O~- 1/714 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />WORK PROPOSED: ~w Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />PHONE -;f/ ~- ~., /L~ - / () / 9 <br />/CJ/ C'r*"Pr.~r'A,'//5 <br />. <br /> <br />____Sign <br /> <br />~ove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~gle Family <br /> <br />____M/F ____, of Units ____M/n <br /> <br />_Com..'"1ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: N-e ;.~) (I n fI~I-""',.Jqj {.aJf1 ~/16'{.p 6'-~: ~- <br />~ ' I / ' " I' , i 7 11 () <br />BUILDING SIZE: ")7,lP x ,':n-IJ ;15'1 Square Feet, <::::L ' Height <br />I <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 REOUESTED <br /> <br />~ILDING <br /> <br />$ <br /> <br />~3, S-OO <br /> <br />I <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />"... <br />Valuation of Total Construction <br /> <br />~;~orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ Nf'.....} <br /> <br />Valuation of Mechanical Installation <br /> <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_PLUMBING <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Steel <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.....................**...*.. <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 0",\ "~' MoM.....~ ~z,-i>b~~rf pU J:~ <br />State Cert.. or egist. f 4li:. 7~~ <br />City License Registration f ~ 8"" <br />.******.**.******.****.******************* <br /> <br />COMPANY -s e-N (Y\, l .;..#: .]:: /) L , <br />State Cert. or Regist.' # /7..:s <br />~ City License Registration #i~ <br />***.*****.***...**.*********.*...********* <br /> <br />COMPANY f{, ~ f<,' P (I-'( j::>/U/Y/6J n:;r' <br />State Cert. or Regist. f c.r=-f2...,. 6 ~ () ~ ~~ <br />City License Registration # /~'1 <br />****...******..***********.*** <br /> <br />COMPANY 5cA./ /VJ ,',/.-).- .-1-1'-C. <br />/ State Cert. or Regist. # !''S:S ~ c;} <br />/ ').' City License Registration . ' , <br />..*..**.*.*...****.**.**..*.****..*.**..** <br /> <br />OTR~R / GOI\PANY ?osl- /?t;'lifn '8 k7 "'- <br />~ _ ~ State Cert. or Regist. , I" CJ </~ 6 t. 3 <br />Signature ~ City License Registration t <br />***.*....*......**....*.........*..*.***.* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />