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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUlLDIRG DEPARTMENT <br /> <br />19rpl~D;,Jf~ <br /> <br />~ ;).} - '7 (J 2- <br />OWNER'S NAKE G,.e.~ t:ftt Itr G A)S~T" ON -I;tc. PHONE 7 g ;).. - J 7 Lj 3 <br />OWNER'S ADDRESS-1!35.3 ~f5t StW!.t:Ct J)~ C.~, S3-.s'2-S' <br />JQB ADDIlIlSS 3 '6-10 Sf<:" e.I:;N k A t'/ t:. Ler~ f ~1I;- <br />LEGAL DESCRIPl'ION: LOT(S) :J 9 BLOCIL.-SUBDIVISION V~S) C s4-a..f-e.s <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---Itddition ----.J\1teration ~epair _Install <br /> <br />_Sign <br /> <br />----'love <br /> <br />->>eIIOlish <br /> <br />nOPOSED~E: ~s~eF_ilY <br /> <br />--.Jt/F _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ~. ~f/ID Square FeeJ,B <br /> <br />Height <br /> <br />RESIDEIITIAL: ArlACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />GOtIKERCIAL: ArlACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDIRG <br /> <br />$ f40, f)~O <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'1"RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />---"EGlWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />F1' . <br /> <br />IS PROJEC1' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />COHPABY (;t.~Wci(lr C$A)~,,eu(T; bN .:tL,-~ <br />State Gert. or Regist.' fl.- ~ ~ :l , S'B':3 <br />Signature City License Registration , 0 <br /> <br />:=-~. 11- .................:::.~.~;;;..;;;~. <br /> <br />, State Cert. or Regist.' € /tu Q '2 ? 2 'i <br />-,- ~ ... City License Registration' Z. s ( <br />-. - --.......................................... <br /> <br /> <br />t#- ~ COMPANY ~ '5 <br />/ / / State Cert. or egist.' <br />Signature ~ ~ City License Registration' <br />~. ....................................... <br /> <br /> <br />~ 1 <br />IlECHANICAL~ GOHPABY J) SC2t\.,.-v\'tP <br /> <br />) State Cert. or Regist. . <br />Signature' ~--7 City License Registration' <br />. - .......................................... <br /> <br />BIJTT.DRR <br /> <br /> <br />PLUMBER <br /> <br /> <br /> <br />OTRRR COMPANY <br />State Gert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />