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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OlillER'S IWlIl ~o.b ~VJ '4 k <br /> <br />OWNER'S ADDRESS 19 '" ~- L I 2 ~ ""- ~ 'I <br />d'~ <br /> <br />PHONE '7 t) 7 - 77) S--' <br /> <br />21 H-\\\ s <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ;;\ a. B~SUBDIVISION 2/ H\U~ Cc.I\)~'1 (OfY\~ <br />PARCEL I. D. fd -d- b - ~ \ -<>0 dO'- COSOO- be) d-- ~ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction --A-Addition ----1Uteration _Repair _Install <br /> <br /> _Sign -.JIove _Deaolish <br />PROPOSED USE: ..f--SiDgle Faaily _M/F _, of Units _M/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: 3 S f I' S; c... (' "€. -e..1t""\ Q cO \ C~ <br /> <br />BUILDING SIZE: ~,_bb5 Square Feet, 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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />PUILDING <br /> <br />$ 3 (oD ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-.-MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBDiG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OOliSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PDISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.................**..***..*******.******** <br /> <br />CONTRACTOR SECTION <br /> <br />RIITI.DRR COMPANY ~S~;\) ~\v...W'\'\:^-t.-""",, 6"f'<:"-~~ <br />State Cert. or Regist. f ~Cc... c> s6 6, \ <br />Signature City License Registration f q t <br />*******.********************************** <br /> <br />F.T.RCTRICIAII COMPANY <br />State Gert. or Regist. , <br />SignAture City License Registration . <br />***************************..************* <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****.************.************.*********** <br /> <br />HECllAlUCAL COMPANY <br />State Gert. or Regist. t <br />Signature City License Registration . <br />..**.****.*****.********.***.************* <br /> <br />OTRRR COMPANY <br />State Gert. or Regist. , <br />Signature City License Registration , <br />****.*.*..***********.****.**.*.********** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />