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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/t; -..:??- y y <br />.g:--.' SO A IV <br /> <br />.. <br /> <br />OWNER t S NAKE M ( \ "DO-e 0 <br />OWNER t S ADDRESS 3\34 s <br /> <br />CA(t\~t0 <br />b~R~S~tQ..(; <br /> <br />PHONE "1 E> ~. \,0.3 <br /> <br />./ <br />JOB ADDRESS SA-rY\ t"' <br /> <br />LEGAL DESCRIPTION: LOT(S) g~ BLOCK SUBDIVISION ~~Q:,-(u..JGCl~ ~~. <br /><::::>1 ~ <br />PARCEL I. D. # l (:) - ~~ g.,l - ry1 ~ G - OG:>c.:X) - 0 q 30 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration ~epair _Install <br /> _Sign ---...Kove _Deaolish <br />PROPOSED USE: ~ing1e F~~lY ---...KI F _' of Units ---...KIH <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: C...lD~e: ) f\::) <br />BUILDING SIZE:~. \ 3 ~ <br /> <br />D i I\J Y \ \Al hj DO v.J eoo """ <br />Square Feet. Z)' 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 />~UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />3 qq_S ~.::-- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---"ECHAMICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br />FIInSBED FLOOR ELEVAnONS: 'OS FT. <br /> <br />)C. Fra.e _Steel Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? A <br />YES <br /> <br />NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER . COMPANY 9 ~ VV\ A-r0 CON S+ I <br />~~ State Cert. r Regist. # C%C-03Sl34- <br />Signature ~ v- .~ C^-. City License Registration # .s <br />*************************************** <br /> <br />ELECTRICIAN COMPANY fv\o~ C \ ec..+tG C <br />7 A l/J 11 I? /"\ State Cert. or Regist. # <br />SiQTlAture . {./ Y (;i~ City License Registration' 4-1 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />****************************************** <br /> <br />ornER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />