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<br /> <br />APPLICATION FOR PKRKlT <br />GITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />fER'S """" ;JV/." 13o/e" i",... <br />I OWNER'S ADDBESS 3'8"'1'17 J!u,,'f ..:f-y 6-' <br />."3 (/ '1// )It--'l 3-:11 ~-.. <br /> <br />, <br /> <br />PHONE <br /> <br />'11 / ~ . 7 IJ 5' '..5"1' 6"1 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESGRlPTION: LOT(S) <br /> <br />BLOGK <br /> <br />SUBDIVISION <br /> <br />PARGEL I.D.' d2x6 -.2./_ e1t.V6 -O!"/;?~1J - ~"I1- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTIGE) <br /> <br />WORK PROPOSED: ~New Construction ----Addition ----Alteration ----JRepair ____Install <br /> <br />____Sign <br /> <br />----"ove <br /> <br />----DeIIOlish <br /> <br />PROPOSED USE: _Single Feaily <br />~~rcial <br /> <br />----"IF _' of Units ---.Jt/H. <br /> <br />I . <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----JRestaurant Ii Health Departllent Approval <br />DESGRIPTION OF WORK: _~f /1./ ~'l&.r6.t1'e. h a ,1/;11 y . $ <br />" , <br />I <br />BUILDING SIZB: J{S; X 5_J,,' , 21./7'..J.J" Square Feet, /1 Height <br /> <br />,."! .. <br /> <br />RESIDENTIAL: <br />GOHHERGIAL : <br /> <br />ATTAGH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS 6& (1) .SBTENBRGY FORMS. <br />ATTAGH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW GONSTRUGTION. <br /> <br />PERMITS REQUESTED <br /> <br />I. <br /> <br />--=:::..sUILDING <br />~LBCIRI.CAL <br />---1IECHAlflCAL <br />~UHBING <br /> <br />$. <br /> <br />3~ (){)ZI. <br /> <br />Valuation of Total Construction. <br /> <br />~ ' r l' . ; .' i ~ <br /> <br />/ JO AHP Service <br /> <br />t <br /> <br />v/ Florida Power Gorp. I .. <br /> <br />/,.' I "'t. <br />W.R.E.C. <br /> <br />C> <br /> <br />, } .,\' <br /> <br />$. <br /> <br />Valuation of tlechanical Installation <br /> <br />.,1 . <br /> <br />GAS <br /> <br />. l' <br /> <br />. " \~.~ , <br /> <br />ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF CORSTIlUCTION: /,../"'"Block <br />FINISHED 'WOR ELEVATl.ORS: 3 a~ oth. <br /> <br />____.reae ~Steel <br /> <br />Other; . <br /> <br />:1; <br /> <br />.......................................... <br /> <br />~, " ' . , . f. , ,".. . <br /> <br />IS PROJECT IN FLOOD ZONE-AREA" " V"" <br />---- <br />, YES,' ':NO..i <br /> <br />I. <br /> <br />Bun.Du. <br /> <br />f? La :ew~-_ <br /> <br />CONTRACTOR SECTION' ,". . ., <br /> <br />COtIPANY :D~ldo ~J':'11 I G~~.~/ACI;~(I'.:z:;..C, <br />State Cert. or Resist.' dO-&-/7f <br />City License Registration' ." <br />.......................................... <br /> <br />Signature <br /> <br />ELBGl'RICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br />'- <br /> <br />SiRnAture <br /> <br />PIAOOBER ~ .A1 IXNlPABY <br />, .', . State Cert. or Reaist. , <br />Sipature 'g 'Lu City Lic.....e Reaistratioo , <br />;' <br />. ..........................~............... <br /> <br /> <br />IlECllANlCAL <br /> <br />COMPANY <br />State Cert. or Resist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />omRR <br /> <br />if! <br /> <br />COMPANY <br />State Cert. or ReSist. I <br />City License Registration . <br />.......................................... <br /> <br />APPLICAUOB APPIIOYIlD BY /'1 a~ JJ1_~ <br /> <br />. .' <br /> <br />. (., , j <br /> <br />,. <br /> <br />Signature <br /> <br />, . <br /> <br />PBRHIT OFFICER. <br />