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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ~ t'rY J.J, m.{jQ...-fes- S ('. PHONE 771- 3 cgS (p <br />OWNER'S ADDRESS P. o. 'i? () X: (;/).12 Zef' A'J'r h; Ur. ~/. ?J.:!J40 <br />, / <br /> <br />JOB ADDRESS j ~DO 7 llJ...wdtJ diL ~iJ,o 7-e,.?AyrtdJy t:J. J3St/(!) <br /> <br />LEGAL DESCRIPTION: LOT(S) :q:J- BWCK SUBDIVISION LJ~YlJO-rdLJ/~J /lJ.J.I. J~. <br />I <br />PARCEL 1. D. , 1'1-). fE - 2/ ,- 0 /{~ () - () (Jo () {) - 03.J (!) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -^ddition -Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: ~ngle Family _M/F _, of Units _M/H <br /> _C~ercial _Indust. _SwiRl. Pool _Other <br /> <br />_Restaurant &: Health Department Approval <br />DESCRIPTION OF WORK: S €--r- CAp {{J ob d-t_ ~IY\ ~ <br />BUILDING SIZE: :l ft.'f-x ~11. I;). 72 Square Feet. <br /> <br />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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ /7/ (;' Od) Valuation of Total Construction <br />fJ.-c,'l.1() NIP Service Florida Power Corp. <br />$--079"brt9D Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />_MEGHANlCAL <br /> <br />_PLUMBING GAS 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 />..........................*............... <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY Su...t\1 t- t~ R JJo fJ..,S j ~ <br />State Cert. or Regist. f f-I.. lllfl'i <br />City License Registration' J/? <br />............*..................*******. <br /> <br />~' <br /> <br /> <br />Signature <br /> <br />/- <br /> <br /> <br />'- COMPANY ~~I\Jr-I~.e Ilcl/~5'I~ff <br />State Cert. or Regist. f V Jt II L/ 1 g <br />City License Registration' 3/7 <br />..*********.***...**....*****.***. <br /> <br />Signature <br /> <br />i/ <br /> <br />MECHANICAL <br />Signature cfJ/.:L '::1~ <br /> <br />COMPANY V 0 !p ~ I AJ 19, 'r J'j/( f~(?7 5' <br />State Cert. or Regist.' G~~~ 5'711? <br />City License Registration , ~ I <br />..........****.***...**.*..*....*.**.****. <br /> <br />~ <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />*****.******.**********..*..*.*.********** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />