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<br />OWNER'S NAHR :::r iJ J. k <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Pole", j~r <br /> <br />PHONE <br /> <br />~/ ~ 7 iJ 5' '..5"?i51 <br /> <br />OWNER'S ADDRESS <br /> <br />38>'1'17 <br />."3 ~ '1/ / <br /> <br />JfUN <br />, <br /> <br />/! ~'I <br />/ <br /> <br />..f"y L- <br />3---;1 ~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' d2.-:2/ -.2./- ,;1.i!6 -O!'/~~Z1 - ~/)I2-- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~New Construction ----Addition ----Alteration ~epair ____Install <br /> <br />____Sign <br /> <br />--",ove <br /> <br />--->>eaolish <br /> <br />PROPOSED USE: _Single F_ily <br />~~ercial <br /> <br />---1t/F ____' of Units --"-/H <br /> <br />____Indust" _Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: _~ I }, I -j.l".rdl'€... h ill 'I Jil1. y 5 <br />, , <br />I <br />BUILDING SIZE: I{r,- xi"..-J,', 2JI-If-r Square Feet, II Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATrAGB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1). SETDERGY FORMS. <br />ATrAGH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION" <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTlUCAL <br /> <br />$ <br /> <br />3 tJ, () {)ZI. <br /> <br />Valuation of Total Construction <br /> <br />, . ." <br /> <br />, . <br />.... <br /> <br />150 <br /> <br />AItP Service <br /> <br />V Florida Power Corp.; <br /> <br />W.R.E.C. <br /> <br />----1IECHANICAL <br />~UK8ING <br /> <br />$ <br /> <br />6 .- <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: I../""B1ock ....,...-Fr_e ~Steel Other <br />FINISHED FI.OOR ELEVATIONS: ~a~ otn. IS PROJECT IN FLOOD ZONE AREA., <br /> <br />YES . <br /> <br />" <br />V- <br /> <br />NO ' <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />Signature --1lLt! ;Cu//~ <br /> <br />CONTRACTOR SECTION <br /> <br />COHPANY :Dtt'do '"]J,~:,11. .( Ct>IA-~ Ir",c ih(' :z;..c, <br />State Cert. or Regis't.. dO/f'fJ <br />City License Registration' 't <br />.......................................... <br /> <br />RI.RCTRlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br />'- <br /> <br />SianAture <br /> <br />PLUHBER ~ .cIt COMPANY <br />Ie. . State Cert. or Regist. . <br />Signature 0 t bl/I _ City License Registration . <br />/ <br />..........................~............... <br /> <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />.Signature City License Registration' <br />.......................................... <br /> <br />APPLICAnON APPIIllVBD BY 7'1 ~ lJ1 <7-0-~ PIlIIIllT OPFlCER. <br />