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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER'S NAKIL.-~\\- \' ) (l ~ C \\'C~ ~ Q I'v'. <br />OWNER'S ADDRESS 5 :)0;:2 Lj Tl\ 5T <br /> <br />PHONE / R ~ r). 0 6 d- <br />?e \,h\(\~ J\~ lIs ' [;/ <br /> <br />JOB ADDRESS <br /> <br />_ SCi YV\. e <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />19 r ;;0 <br /> <br />BLOCK I 5 ~ SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _.~:single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK:_ReVv>.::lde" u p5\(<~\-<;' <br />BUILDING SIZE: d 1 S X ;US. 1'1,3,75- 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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />V BUILDING <br />VELECTRICAL <br /> <br />PERMITS REOUESTED <br />$ 15"()7) - ;)(f?J() Valuation of Total Construction <br />/t;() AMP Service ~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~UMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? V- <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />=~ci..~JJL. <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />:::~~J~... <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />PLUKB~~ COMPANY <br />State Cert. or Regist. . <br />Signature. ___ City License Registration' <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />