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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT J <br />~~p Z&lN.(!; <br />I' M .~ l U <br />OWNER'S NAKESKy'/JI'I15 CITY (iEA5~'7 CITY or fU.!l'HYJt.I/US PHONEYl3 .'731 -13al <br /> <br />OWNER'S ADDRESS ~ ~o ..)-ou 71J Ave. Z - #/tL5/ R, Jj'.5 L:> <br />c.;:'0 I a~ e Ko <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />/9 - 2.~s - Z Z C <br />PARCEL 1. D. t. .:) '(! <br /> <br />BLO~ SUBDIVISION <br />P;;RcE/5 /7 I) f'lo7 <br />~-B7-9o-9f-l'ol.-I03 . <br /> <br /> <br />_Addition ---....Alteration ~epair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />'PROPOSED USE: ~le F..ill' <br />eo..ercial <br /> <br />_KIF _' of Units _K/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: ())JJ,SrlWcno,J dF A /lflte a~ " - Wf)~~ ;vI Men9-L ~F' <br />, - =t <br />/} <br />~ . .'// --U b <br />BUILDING SIZE: .:;10 X 'Ill, /200 Square Feet, /3-h Height ~ra~. <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 />LrnuG <br /> <br />J!l.n...ELEc:rRICAL <br />~CHARICAL <br />~UMB-=mG <br />TYPE OF COBSTRUcnOB: <br /> <br />PERMITS REOUESTED <br /> <br />$ g IJOo . 00 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />GAS <br /> <br />Valuation of lIecbanical Installation <br />~OOFING SPECIALTY <br />LFraae _Steel Other <br /> <br />_Block <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA"I <br /> <br />L <br /> <br />NO <br /> <br />YES <br /> <br />****************************************** <br /> <br />. " . CONTRACTOR SECTION <br /> <br />','.. <br />.. <br /> <br />BUIID~ 1/;J4 . '1%,2 <br />Signature ~. ~ f) . <br /> <br />. coMPANY BAct.' ti4A15-r#C.~";v C6. ..we <br />State Cert. or Regist. I: CGC ()'I }(PII <br />City License Registration I: .251 <br />****************************************** <br /> <br />:::CIAR X <br />ure <br />PLUMBER X <br />Signature <br />lIECHANICAL X <br />Signature , <br />OTHRR X <br />Signature , <br />APPLICATION APPROVED BY <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I: <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />PERMIT OFFICER. <br />