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<br />OWNER'S NAME <br /> <br />, o>D <br />. ' A"~~ f f()J--' :z!i.'~':7'b <br />APPLICATION FOR PERKIT ~. f, / ,;) r- J / :1-, ' <br />CITY OF ZEPIIYRllILLS ~. 'JJ~.a/A U ' <br />BUILDING DEPARTMENT r~ "D ~ /lV ~,~ <br /> <br />~ (813) 780-8774 <br />~~C Market Square, Inc. PHONE <br /> <br />OWER'S ADDRESS <br /> <br />38135 Market Square, Zepbxrhills, FL. 33540 <br /> <br />38135 Market Square, Zephyrhills, fL.. 33540 <br /> <br />Zephyrhills Colony Company - Lands PB 1 Pg.55 Portion of Tracts <br />LEGAL DESCRIPTION: LOT(S) B~SUBDIVlSION <br />39 & 42 desc as com at SW cor <br />PARCEL'I.D.' 02 2621~010 03900 0030 <br /> <br />JOB ADDRESS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: X New Construction, ---^ddition ----..Alteration ~epair _Install <br />I - <br /> <br />_Sign <br /> <br />----"ove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />----"I F <br /> <br />_' of Units ---1t/H <br /> <br />-Leo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />-Restaurant &: Health Departaent Approval <br /> <br />I <br />DESCRIPTION OF WORK: <br /> <br />Build out future expansion area <br /> <br />BUILDING SIZE: <br /> <br />24 II 31. ~ Feet, 8' Height <br /> <br />A1TACII (2) PLOT PLAlfS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORHS. <br />A1TACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RESlDEIITIAL: <br />COMMERCIAL : <br /> <br />PERMITS REOUESTED <br /> <br />~UILDIRG <br /> <br />,$ <br /> <br />10,000 <br /> <br />Valuation of Total Construction <br /> <br />X Rl.RCTRIGAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />\')W.R.E.C. <br /> <br />2.JmCIWIIGAL <br /> <br />$ <br /> <br />Yaluation of lIechanical Installation <br /> <br />2...J'LutlBING GAS ROOFING <br />TYPE OF CORSTRUCTION: ~loclt -'reae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIllISBBD FLOOR ELEVAnONS: <br /> <br />8 <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />X <br />YES NO <br /> <br />.......................................... <br /> <br />BIJTI.IlER <br /> <br /> <br />'0 I <br />" WI1-!/U <br />COMPANY FMC Market Square, Iuc. <br />o State Cert. or Regist. f N/ A <br />Lt City License Registration f N/A <br />.***..* ..***.~.....***~***~*e*t'~.t.*~~~ <br />~ - r J1l/flZ-t"V e:( , <br />p.vpv'r-.: iJ COMPANY <br />,.v.a-<^,,js~te Cert. or Regi't. f . <br />, City License Registration f _~ <br />....**.......*..**...**............*...... <br /> <br />CONTRACTOR SECTION <br /> <br />SignatUre <br /> <br />'/Rl.RCTRICIAN <br /> <br />~ ~ ~~, p7[DDU'l'{'l <br />. . Cji7 OK /" <br /> <br />SiimAture <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or R gist. f ((c/ <br />City License Registration t <br />*.~...**********.**.**...*...**.***. <br /> <br />8 '- COMPANY S" \~'}t:/l/ L~1:1L G{- 'b~4P.)V{bN/ <br />) -. " State Cert. or Regist. t C~1A.:~(o D~~7.~4-L.I'3 ~' <br />. ~ 2 ~'''-'--- City License Registration f __ _ -19- .:;K.. bo/ <br />..**....**..**....*...*..*.....*********** <br />I <br /> <br /> <br />.,/ PLUMBER <br /> <br />tlECBANICAL <br /> <br />Signature <br />I <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />...............*.............A*..*....**.. <br /> <br />. Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />