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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />D..vJ- 9';; <br />IJJS ~ I~ -- C?? <br /> <br />OWNER'S NAKE <br /> <br />(...I )lttEL. t3 <.:..,1157 <br /> <br />/.r-J Go <br /> <br />PHONE <br /> <br />7157!!1 <br /> <br />OWNER'S ADDRESS <br /> <br />'5C1 s \ <br />3~ S l <br /> <br />COf€L..o.....J? 0 v <br /> <br />C .. r...: <..O-olt? ()., <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.' ;)'f-~~;)/.... <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />~Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />L-ec:-ercial <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant it Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: ~{"~i <br /> <br />W-'\\\ Sl('"rJ <br /> <br />3""7'-2'1 <br />7. ~ <br />Feet, 2... Height <br /> <br />BUILDING SIZE: X <br /> <br />Square <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING $ 2l SO u-U <br />e "K I~+,""G c::.\'lt...C..n\ <br />3-.ELECTRICAL AMP Service <br /> <br />Valuation of Total Construction <br /> <br />Florida. Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGllARIGAI. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <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 FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**.**...........*......*.*.**.....***..*.. <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />I'nUDUnr 0~s7 C(f;/<JTk.1t.. 5 I C..; S <br />~ ~ ~:~ert. or Regist.' ~S" Oc::>006~ / <br />~/. /~/ City License Registration' .' '7 7 <;"" <br />.................*......................*. <br /> <br />Signature <br /> <br />RT.RGTRICIAN <br /> <br />7~ <br />~~?// <br /> <br />COMPANY ~E.::S7 c~.AJ7kj'1 SIc/\}-5 <br />State Cert. or Regist. t tfiSooood:fl. 7 <br />. <br />City License Registration t <br />.....*.**.....*....**.......****.***....*. <br /> <br />SionJ!lture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />.................***......*....*....*.*... <br /> <br />, . <br /> <br />Signature <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <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 />