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<br />7J? F ~~~.trO ' <br />!>-- /Y-9k <br /> <br />, @/3J <br />OWNER'S NAKE FE {JJ.?I<A L A (~ ~12 n A- f5L6 llcuc,/ ~ PHONE L-/!( b - 7 q B I <br />OWNER'S ADDRESS It-, I to .e:; u.. Cf~ '7ZJ h4j /~ ~c/ /) (3tm/PlU/l7t?~ h, <br />JOB ADDRESS 'f ?.3 0 77 M ~~/? /A.,t~ <br />LEGAL DESCRIPTION: LOT(S) 2-- { <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />BLOCK <br /> <br />SUBDIVISION /"(9~( p-:-r S,,?U *'P..,c;: <br /> <br />PARCEL I.D.' /5- -c16 -Q..I <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: ~ngle Futily <br /> <br />_"'F _, of Units ____M/H <br /> <br />____eo..ercial <br /> <br />____Indust. _Swim. Pool _Other <br /> <br />____Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: "IrAI L 0 ('~C;, kht.<.--,( ~ <br /> <br />BUILDING SIZE: <br /> <br />~() <br /> <br />--- r <br />X :::J.:::> . <br /> <br />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 />~ILDING <br />~LEGTRICAL <br />~EGHANIGAL <br />hLUMB~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />3~ 000 <br />./ <br /> <br />IS' tJ <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~lOrida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ 2; ~ 00 <br />Z :s 00 GAS <br />/ ~ <br />TYPE OF CONSTRUCTION: ~Block <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br />-L.Fr8lle _Steel <br /> <br />SPECIALTY <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 />COMPANY W~N<< W/-II /1.3- ~~...v5r <br />~ I _ /~ State Cert. or Regist. , {'c.,C OOGZ-J~ <br />U~ ~ City License Registration' ,~V\::' / 13 <br />****************************************** - <br /> <br />./ <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />ELECTRICIAN COMPANY Eo! W;IV .::c ~ IJ v..>" \~?r -.:G:..- <br />/', }. /.~ ~, State Cert. or Regist. # ~lI,;t, <br />Sinulture r ~ -9- tyV'-^-' ~.;- City License Registration t J 1 -< 8' <br />******~********************************** <br /> <br />COMPANY t? f K,e... L~ PLcI..... k.,.vt' TA/Cr <br />-- State Cert. or Regist. , C. FC- 0 L.. {)13 'i L <br />-I 1.,/ - - City License Registration' /? r <br />~**************************************** <br /> <br />v- <br /> <br />Signature <br /> <br />',-Z <br />, <br /> <br />t..--" <br /> <br />MECHANICAL ~ COMPANY Hectve,..v/ y J/ Ie <br />....-... ;! du /J State Geet. or RegisL' St.t. CACO.sj:z:YJ7 ......---- <br />:~~ure~~/'''/4/'~ ' City License Registration' /~J< ~ <br />****************************************** <br /> <br />-f!.., ;i;;: " '~ ~ ~ /~,{ :/ <br />omF.R COMPANY , , . ~ <br />'!? +~ ~tate Gert. or Regist. .~-,- - .~-= .- .~U' <br />Signature ~ City License Registration t <br />** ************************************* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />