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<br />. ; <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S ADDRESS <br /> <br />~e~'/e'''',v' <br />f.f~" <br /> <br />~o//,.,./ <br />.$* r# .1'72. <br /> <br />PHONE <br /> <br />7r~ ~t!t'YrIY <br /> <br />OWNER t S NAKE <br /> <br />&r"#/p'/'LI~ ~L,-9 <br /> <br />$ S.r .y() <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' '2.1 - *.. (OBTAIN FROK PROPERTY TAX NOTICE) <br />'IS- t'tf fT tP~~E ".jJ~O <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Siogle Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />Restaurant & Health Department Approval <br /> <br />/#s~/l <br /> <br />/t:J 7P"'/ A.L 6,;4/$J/ ~A/.I.vc <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQ~ FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />ELE:zc-,nu AMP Service <br />- 6~)>:rlj <br />_HE GAL $ ~ Valuation of Kechanical Installation <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br />....'" <br /> <br />YES <br /> <br />NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />~ City License Registration . <br />*~**************************************** ' <br /> <br />..., <br /> <br />ELECTRICIAN,' COMPANY Z.....L-\-II..L~ Ct..~'1'. <br />~ State Ger<- or Regist. t ODO?-l<-\'- <br />SiQfiAt . , City License Registration , q G:1 <br />****************************~************ <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />HEGHANlCAL COMPANY ~t"/,.v' T ~ #A/~)/ <br />State Cert. or Regist. t R#lt:?CJ/4/J ~2 0 <br />Signature City License Registration' ~ /~/ <br />********************************* <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />