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<br />'1~:?14.!\. ~ 4 <br />. r:{jy l\t 1~/2 ~_ <br />. IJ ~;i~ f" <br />1~'1L <br />LJ PY , <br />OWNER'S NAKE : J(}Jpfl-i <br />OWNER'S ADDRESS 37 ;L'I'i' <br />JOB ADDRESS /0 TO;; ~1' <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />?i:.r .Au-u ~ <br />'If 9D' ;;-1- 'if <br /> <br />f: i--6~e()eG--/A/!/AJ gj)(!,/(/!/ PHONE Cj27~'-5;;Z/-US-)-/ <br />E/lJM>fJ J9{.er- ~AA/'f/ -!:h4e- ~>J s3:5.2!> <br />S) -{/ /I.r! /ciS /-L-P /vjl/ t: '7a~ 6# ~~ ~.~6 <br />11 ~ 9 BLOCK SUBDIVISION S/(u~: O/.?/::s <br /> <br />PARCEL I.D.' (OBTAIN FRON PROPERTY TAX NOTICE) <br />WORK PROPOSBD:~W Construction ----"ddition ----"Iteration ~epair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~:gle F_ily <br /> <br />-----Kove <br /> <br />_Deaolish <br /> <br />-----KIF _' of Units __J:t/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />~estaurant . Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />.!;.';.V?L. e... fj(! //7 Ie ~ tf.P \/ iJe,v..se <br />,/ <br /> <br />. 'I / <br />313A? d- /2- LJ/111/5 <br /> <br />BUILDING SIZE: L) 'if X <br /> <br />. ;2 fl8 <j 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 />PERMITS REOUESTED <br /> <br />,.,/" <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br />V' Florida Power Corp. <br /> <br />~ELECTRICAL <br />~GHARICAL <br /> <br />2- 0 () AlII' Service <br />t :2 coo <br />$ :;;>000 <br /> <br />. <br /> <br />W.R.E.C. <br />~ <br /> <br />Valuation of Mechanical Installation <br /> <br />t../ PLutlBING <br /> <br />GAS <br />~loclt <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fr_e _Steel <br /> <br />Other <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />BUIWER <br /> <br />JL <br /> <br />((otrrR4G10R SECTION' <br /> <br />COMPANY <yJZP7Pr/l JA/c. <br />~ . . State Cert.. or Regist. . Or) .5-6 3~ (; <br />( '/~ City License Registration . 3~ 2- <br />.......................................... <br /> <br />;. <br /> <br />Sisnature <br /> <br />..-,f , COMPANY /Jl{J,.{' ro..J LI-fC7 ~:'/ C <br />f) f ,,, h A/-. State Cert. or Regist. . . <br />"'{ TL ( City License Registration' --:;;T. ~ <br />.......................................... ~ - I ( <br /> <br />PLIDtBER COMPANY fYLtt /J1 ~ / ~ 6 <br />~./ / / ~ State Cert. or Regist. , <br />Signature ~/C/Tdv~ City License Registration' <br />.......................................... <br /> <br />" <br />V"/ <br /> <br /> <br />ELECTRICIAN <br /> <br /> <br />IIECIIAII\~ COIIPARY SOA/Yp::i <br />_ State Cert. or Regist. . <br />Signature City License Registration . <br />. ~~~.............................. <br /> <br />~2 <br /> <br />Signature <br /> <br />/c' COMPANY A;2erec# ,7;~ c <br />~. ~ State Cert. or Reaiot,' OO'i/i. iii: 6 <br />. /fAA- c-....-"'-~_ City License Regidltation' 311L <br />, .......................................... <br /> <br />OTRRR <br /> <br />APPLlCATlOll APPIIOVJlD BY '11 ~0 .m /rtf ,~ <br /> <br />PERH1T OFFICER. <br />