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<br />a........._.....~......4VU .a.-v....", ....a....a.U'L.L.a. <br /> <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />l:)c4)A~'A-\e PHONE <br />c.clLNWA-\ \ '--o~.J l> e.. <br /> <br />WORK PROPOSED: ____New Construction XAddition ~teration -Repair _Install <br /> ____Sign ---'1ove ____DeJlolish <br />PROPOSED USE: ~ingle Family ____KIF _' of Units _K/H <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 10 X <br /> <br />GlAsS. ) Sc.(2L t'.1O e.OO (Y\ <br />I <br />10, J~() Square Feet, 8 <br /> <br />Height <br /> <br />RES lDENTIAL: <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 />LBUILDING <br />XELEC'l'RICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ ..4-500 0 ~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />y <br /> <br />W.R.E.C. <br /> <br />-KECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _Block .)(' Fr8lle _Steel Other <br />FDfISHED FLOOR ELEVATIONS: ~ FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Si <br /> <br /> <br />CONTRACTOR SECTIO~ <br /> <br />COKPANY.:R~mA1\) Cb NS{e.,u..c\-i'<.1 :J <br />State Cert. or Regist. , Q &C.-O~S\-34. <br />City License Registration' -e.g ~ '7 Y <br />****************************************** <br /> <br />:::;.. ./ '-. ~ COMPANY MMZ:.-~ I\J t;\ee:t'R_{' e.. <br />.' ~ -,)> ,-----, , " State Cort. or Regis t. . 5. e 'I 0 \3 '+4,i <br />=-~L-... ~~. City License Registrlltion' ~ 1_ <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration' <br />****************************************** <br /> <br />.QIIlEB COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration' <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />