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<br />W A J/AC!e <br />OWNER'S NAKE R c;be-rT <br /> <br />OWNER'S ADDRFSs;-tih <br /> <br />JOB ADDRESS f) 0 .:3 G) <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />D. Keeu'.Q..-S <br />/77, Ree ves <br />I ~]!::)- ?I; <br />74n/fep-!'4'.t TJy, <br /> <br />6~ <br /> <br />PHONE 78,;;- 9-3? 3 <br />2/17;05 <br /> <br />LEGAL DESCRIPTION: LOT(S) / /'j, 113, L.:LBLOCK /q / SUBDIVISION <br />~~~~~~ /1 .J.~ 2/ 6t?//) J9/~O OJ?CJ (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />4Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:Jp-n1fJ//:'7 f\ <br /> <br />BUILDING SIZE: iJ.:f-x ~ ~, 5~~ Square Feet, " Height <br /> <br />RFSIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'.l"RI.CAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECIIAlO.CAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FIRISHED FLOOR ELEVATIONS: FT . <br /> <br />~Fraae _Steel Other <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />YES <br /> <br />'X- <br />NO <br /> <br />****************************************** <br /> <br />roRTBAcrOR s~o~ <br />BUIIJlER ~~ COHPAIIY .' L>-?W<CJhrJ?,A/ <br />. State Cert. or Regist. , <br />Signaturel. ~'. City License Registration' <br />****************************************** <br /> <br />RT.RCTRICIAN COMPANY <br />State Cert. or Regist. , <br />SionAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />