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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />\ToS~;:'H <br />~05g <br />~o38 <br /> <br />8/20U/CL e r <br />L-~A IZ-I<. <br />LA. 12-r::- <br /> <br />PHONE <br /> <br />-;7'88 - 50.9 'I <br /> <br />OWNER.' S HAHB <br /> <br />OWNER. · S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOClL...-SUBDIVISION <br /> <br />OAl<SIO~ /77, It'. P <br /> <br />PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---!addition --1a1teration ~epair XInstall <br /> <br />_Sign <br /> <br />.--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----Yt/F _' of Units ----Yt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: / A/S 7/-f'~ L- At-V/y];,v.h"l-t :;)OU/'3 L-<2 Rot,?,..c <br /> <br />BUILDING SIZE:","~X 12":/ M6/ Square Feet, Height <br />- <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMKER.CIAL: ATtACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR AU. NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />/ 80/l,. QO <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 />---1IEClWlICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIfSTRUcnOH: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR. ELEVAnOHS: <br /> <br />n. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />CORTRActOR SECTION <br /> <br />COKPAHY CI2.Erl7/VE E'xre~/o./ZS/NC, <br />//"J~ /. State Cert. or Regist.' {' r: c 03_"'102-Y <br />( ~_4..-;; City License Registration . <br />.......................................... <br /> <br />RUn.Do. <br /> <br />Sionature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RlRC'l'RTCIAH <br /> <br />COKPAHY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />HECBARICAL <br /> <br />Signature <br /> <br />COKPAHY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATIOIf APPROVED BY <br /> <br />PERMIT OFFICER. <br />