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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~eN\'.J ~/ L~v..>~o N <br />/ <br />3 2 7 I g ~ -t) o~e., <br />r-~~'71 -8 ~OS~ <br />LEGAL DESCRIPTION: LOT(S) /~O <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />LF\N ~- <br /> <br />JOB ADDRESS <br /> <br />L p... "-.} '<- <br />BLOCK 13 SUBDIVISION {2Jfrk/ RR~/c- <br /> <br />PARCEL 1. D.' O.:? - dl C::r d 1- 06 90- oo/SOO- a/C/o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---J\1teration _Repair _Install <br /> _Sign _Move _Deaolish <br /> " <br />PROPOSED USE: _Single Fsaily _M/F _' of Units V-;IH <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:~Cl&~e ~1??~ ~-7u~ <br /> <br />BUILDING SIZE: 4 ~ ~x:::z!!i. /37';; Square Feet. / q; Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQQIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />~ ~ <br />,$ t3~" 000 Valuation of Total Construction <br /> <br />} 5'"'0 AtIP Service Florida Power Corp. <br />q 00 <br />$ 00 -- Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />_KEGBANICAL <br /> <br />_PLUKBING GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />#/a&.I~ bOther <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frsae _Steel <br /> <br />FDUSBED FLOOR ELEVATIONS: <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br />"<'''l! <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION ? <br /> <br />COMPANY &o"Dw/(u //7/Jv?/ e <br />State Cert. or Regist.' t) II- <br />City License Registration' /0..56 <br />............................... <br /> <br />) COMPANY ~/i'r/~/"".:d;s;;;>~..s <br />- ...-/ State Cert. or Regist. , <br />~ City License Registration . _ <br />..................*.***......... <br />- \ , r) <br />/ GOMPANYt:02tu/,~ 7?? /f/ -39~-eS <br />.;/" State Cert. or Regist. , <br />~ City License Registration . <br />".....................*........... <br /> <br />COMPANY~ >rl&~ ~/t~~~/?~ <br /> <br />State Cert. or Regist. , <br />City License Registration' /(.-:PY? <br />.*...*.........*.......*..*.......... <br /> <br /> <br />/ 6.!:J-/ <br /> <br />PLUMBER <br /> <br />/-3 <br /> <br />/(;SO <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />.*..........*.............*............... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />