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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE fZO~ALn ~eE<-€. 5~ <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS 3D 34 <br />JOB ADDRESS Lo T 1'5"' <br /> <br />S'. I)VLlLLEY flt...lcJY <br />SI LVElt OI\I..<~ rfMs€ A <br /> <br />IJJVert.I\IE'SS <br /> <br />Pl. <br /> <br />J'Y(/5" Z. <br /> <br />Lcrr 1<:; SlLv€-12 O~l(.S Pt, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />15" <br /> <br />BLOCK If <br /> <br />SUBDIVISION 'SILV€R. oAkS <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL LD.' D~ Zit;. 21 012/'1 OeODO C>15D <br /> <br />WORK PROPOSED:-LNew Construction _Addition -^iteration _Repair _Install <br /> _Sign. ---1Iove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF --!.-.. of Units _K/H <br /> _ec:-ercial _Indust. ~Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: L'o"'(Jt~ ~'WJ""',,.}1r ffx>L Of- ovu..oSldt-,r <br /> <br />BUILDING SIZE: <br /> <br />~z <br /> <br />, " <br />X~3.y , <br /> <br />Square Feet, 7'?3 <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 />~ELECTRICAL <br /> <br />$ JJ I &00 !! <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />v <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllAllICAL <br /> <br />$ NIIl <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />-/liD <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -Block ~Fraae =-Stee! <br /> <br />C''''N L{I. ere <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? 2- <br />YES NO <br /> <br />****************************************** <br /> <br />BUn.DER <br /> <br />~. <br />\, <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COMPANY ALlllIJe PooLS of SI,.4 ~ ,,../<- <br />State Cert. or Regist. , R' 00 (.5</1 t <br />City License Registration' 15'<ft/ <br />****************************************** <br /> <br />(J J( 1/ <br /> <br />PLUMBER <br /> <br />:-:::lAN ~ R COMPANY 1- <br />. ' ~ ~ State Cert. or Regist. # <br />-- eY ~ ~ City License Registration . <br />~***~************.......*....****.**.***.** <br /> <br />\ COMPANY J9lP,loIc !hits "..sriJs I/V'( <br />/ State Cert. or Regist.' Ifl 00(,'5'/18 <br />City License Registration 41 l Stt''I <br />****************************************** <br /> <br /> <br /> <br />" <br /> <br />Signature <br /> <br />-- <br /> <br />~r>-=--~ <br />City License Registration , <br />****************************************** <br /> <br />HECHAlUGAL <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />************ <br />JJ3WL_) M VOU\. <br />Dbl10A 10 .lD~ ,~OC 'I '('DfGM <br />AIIa<W8k1 <br />'OJ ~ :::>:). no.u.m.T,o;) <br /> <br /> <br />OTHER <br /> <br />APPLICATIO <br />