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<br />/~obert <br />OWNER'S ADDRESS C)2 3 (0 I B li--r <br />JOB ADDRESS ~ rn--f <br />, c.- h (V1l/-ff <br />LEGAL DESCRIPTION: LOT(S) ItJ /1 c lif Y>'BWCK 1,1 SUBDIVISION <br />PARCEL 1.D.' /1-c:20 - ~/-OOID-1770o - O/~D (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />OWNER'S NAHB <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~k <br /> <br />(2 nru /~ <br />c;:f gr~f~ s <br /> <br />PHONE ,g g - 4 ~o3 <br />.-~ . 3-J~SL/.O <br /> <br />WORK PROPOSED:____New Construction ~A4dition Alteration ____Repair ____Install <br />~.y Snc<\ ---- <br />____Sign ----..Move ____Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />____H/F <br /> <br />____, of Units ____H/B <br /> <br />____eo..ercial <br /> <br />____Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: y-e~')lo CL- <br />I <br />BUILDING SIZE: m-x LQ <br /> <br />(' t lW ",-l <br /> <br />~ol <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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />0'(,) <br />$ c52.) /00' - <br /> <br />Valuation of Total Construction <br /> <br />-- ELEGTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />, MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />-PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Fraae ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FWOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />ro~CTOR ~~ <br />BUWlER _ t2J....~AIlYm 17?u.Q<..:n,.~) <br />, e Cert. or Regist. t <br />Signature ~~ ty License Registration' <br />****** *********************************** <br /> <br />ELECTRIcIAN COMPANY <br />State Cert. or Regist. , <br />Sianature City License Registration , <br />****************************************** <br /> <br />PLUMBER. COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />KEGHANIGAL 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 />