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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />(Let:.l5e J-/Oc- uei2) <br />OWNER'S NAME Dd, vt/.5" d ^/ 5 ?bIZ! A J/ 1.47/ 0/\/. /-'Vc, PHONE f.8j :5') & d /- ::)74-0 <br /> <br />OWNER'S ADDRESS .:5/5' ?e::73 BL e; WOeY;} u2. j3;?'~/l/()O/f/. FL 5:5 s7/ <br />. <br /> <br />JOB ADDRESS -:3 ~ 4 .4 () 5cJ U I H A J/ g.-: <br />L-.e:/-1>,~-- p..q.l2c~L /'c // Z-/-,I/L.-C- 5 A//c'}/tJr,L/ <br />LEGAL DESCRIPTION: 1.OT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I. D.' IJ - d.. 6 - d-/ O~.h1 P (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:.$.-New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FSIIily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />~eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: /4.cpc/~t!?'k/</J)} (ge~/ ~./t//P4 <br />-' /8'10: /' <br />BUILDING SIZE: (-Jp X 'Jr, ( "3/tS2'J)- Square Feet, /.6' Height ~vA <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />/BUILDING <br />V ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGIIANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIfSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDiISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />,~ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 2~ g,~, jV~~. {l#'r /.#;/>>,.1t6'/'~ <br />State Cer . or Regist. . RILl p".p/~Jd,J;- V <br />A;//J~~~ City License Registration' rJ-// <br />.*..*..................................... <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />Si,",Ature Zt)~A/) ~)~ <br /> <br />~~ t".L r-- '\ <br />COMPANY}- e:- ~ 7!' t!' / ~ I ~ <br />State Cert. or Regist. , ERd&~~6 ~ <br />City License Registration , / t!J~ <br />.......................................... <br /> <br />v---/ <br /> <br />~ mIlPAIIY {!)t((,S <br />..., ....~ State Cert. or Regist. . <br />Signature { 2 &A City License Registration t <br />.....................................***** <br /> <br />PLUMBER <br /> <br /> <br />b <br /> <br />~. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />...................*...................*.. <br /> <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />.....*.............*.......*......*.....*..' '. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />