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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME J ~ fl A-J 01 <br /> <br />E.. 11Th.I'KJ S. <br /> <br />PHONE 'lfn,- '1~3' ~ ) I <br /> <br />OWNER'S ADDRESS ~ OJ ;t. 0 '1 <br /> <br />;? fin J" 01 fl. <br /> <br />JOB ADDRESS :s '1?-...o q <br /> <br />//l/1k dt2. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' I;;L.- ';;l..G,. - 2/ -00.30 ,- QO C. 00 - oCJq 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: v--New Construction _Addition ---Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: p/?( UA-c..j;I. <br /> <br />Pc-Nee.- 10 /IfT <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <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 FORtIS. <br />PROPERTY SURVBY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />;$ 6-'~ ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELEGTRlCAL <br /> <br />.AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KEGIlANlCAL <br /> <br />$ <br /> <br />Valuation of tlecbanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUctION: _Block _FrDe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECf IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br />Signature f~uU C' <br /> <br />CONTRACTOR SECTION' <br /> <br />GOtIPAHY 7-/0111 c: 0(....0.) -e /<- <br />State Cert. or Regist. , <br />~~~ City License Registration , <br />.......................................... <br /> <br />RI.RCTRlCIAB COMPANY <br />State Cert. or Regist. , <br />SiRoAture City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COMPAHY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />