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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />() <br />\., D t-.\ c., \ :l2.. €' --S H t... . <br />, <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS 7 ~ ; .s- -- b Q L-L ~ (1 L) L.... "'9.......>:> <br /> <br />c:S u '-r .w. "* 2-. <br /> <br />JOB ADDRESS '1 3 ~$" - <br /> <br />~ z...-L ~ 0 v Leo \J '" ......~ <br /> <br />~$.~ .." ~~-'LJIL <br /> <br />~ \)"" Il-Y'<'_ -.::>"... ". <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK- SUBDIVISION <br /> <br />PARCEL I. D. f 3 't - L S - :2.) - DOC 0 - 0 0 ~ 0 (j - b 0 2. [/ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~~d;:f rHorv:;ru; <br /> <br />Goo.::; U !,1>.. i.. ion <br /> <br />)i... <br /> <br />c..l.tJB ~.... i ;.\!.catiou _Repair __Install <br /> <br />_Sign <br /> <br />Hove <br /> <br />_I>eaolish <br /> <br />PROPOSED USE: ____Single Family <br />)( CoaIRercial <br /> <br />_-"1/ F <br /> <br />_tl: of Units _M/H <br /> <br />_Ind.ust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health J>epar:tJl'.Iellt Approval <br /> <br />DESCRIPTION OF WORK: .:t H ra=.1'l-' ~ l2. tii'~ D.h~ 3' >b~ S <br /> <br />~O"'- ~t9..'t'--I~h ~~c:.'\.'''J. <br /> <br />BUILDING SIZE: _~._.38_~SqtlaJ_e Feet. - Height <br /> <br />RESIDENTIAL: <br />COMMERCIAl. : <br /> <br />ATTACH (2) PLO.l' PLANS &: (:!) St:TS OJ! nUH.1HNG I'I..ANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF .BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED "'OR ALL REW CONSTRUCTION. <br /> <br />e~ <br /> <br />mmD.:s....RWlU.~:rmI! <br /> <br />-L-BUILDING <br />~ELECTRICAL <br />~HECIIAMlCAL <br /> <br />$_:3 (;) /98 Valuation of Total COllstruction <br /> <br />\ -ys.>-\...c....- <br />) OO~~~AKP Service __.Florida I'ower Corp. <br />blJ <br />-- <br />$ 2-) 190 ~gW().....\l Valuation of Mechanical Installation <br />Z~)>T}""l. <br /> <br />W.R.E.C. <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />______ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ___Block _Frame __Steel l'\".c.~_ ~~~ '5..0ther <br /> <br />FINISHED FLOOR EI.EVATIONS :--=:::::-...:......FT. <br /> <br />IS PROJE{;r IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.*******~****.**.*.*~**...*~****.******.*.* <br /> <br />.~Q!ilJ1A..GI.OR S1:;c..:UQli <br /> <br />L'OMPANY -:p,dSlJZ.~"'\ ~ . ~\J..l?2:l>>-I- t;...~ - tM '\. <br />State Cert. orRegist. f_ C-he.- D)...3l3,e <br />C Hy License Registcatiou . / S-r;) 9 <br />.**.****~.*****.*****k**.***.********** <br /> <br />=~~ COMP^NY~~:ldl.~. <br />Slate Ce~t. r Regist. # 0 <br />, u e City License Registra.tion # L.>:b <br />******."'**************A******************* <br /> <br />BurWER . <br /> <br /> <br />:hx( , <br /> <br />PLUMBER <br /> <br />GOUPMJY <br />Slate Cert. or Regist. # <br />City License Registration # <br />*******************************~***~****** <br /> <br />COHPANY~' - (L,^-~ ~ /2.6, !L-r <br /> <br />Stat.e cert.~'~;~t. # . <br />Gity I.i<:ensc Registration #- j S-G <I: <br />***.************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />'h. .... -", City Li';ense Registrati,on, P. <br />*'I,!'**.,~*~."** **... *il**** *....t****. "'******,,**** <br /> <br />'. . .." <br /> <br />APPLJ.CA'J;ION APPROVED BY <br /> <br />'" t <br /> <br />PERMIT OFFICER. <br /> <br />; <br />I, <br />