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<br />.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />OliNER'S N_~ ~ir' ;LJJru~ PIIONE(8;J 99/-?3u' <br />OliNER'S ~S /clJ{5? ~ ~ -::;;= <br />JOB ADDRESS ck;:t S~/~ . .~ , ' .' . <br />LEGAL DESCRIPTION: LOT(S) 53 BLOCK SUBDIVISION S'iL vert'-O;4K5;. <br />PARCEL LD.' . - V' -. 0/ bCJ - CK:J <br /> <br />bO' cfO <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install <br /> _Sign -----Kove _Deaolish <br />PROPOSED USE: x.Single Faaily -----KIF _' of Units _K/H <br /> _~ercial _Indust. _Swill. Pool _Other <br /> <br /> <br /> <br />_Restaurant & Health Departaent Approval <br />I <br /> <br />r-/J/J?/~ <br />/ <br />Square Feet, <br /> <br />Height <br /> <br />DESCRIPTION OF WORK: :,\i AlJL<? <br /> <br />BUILDING SIZE: <br /> <br />x <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />;:;~~ooC) <br />, <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />(C)CXJ <br /> <br />AMP Service <br /> <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~GllARICAL <br /> <br />$ ~300 <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br />X Block <br /> <br />SA,I/'1b'RooFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FIllI.SBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION . <br /> <br />lDIPAIIY ~. q, '~1t ~ <br />j //1 State Cert. or Regis f C6t 3h:JQ(') <br />~ City License Registration' /23 <br />.. . ...................................... <br /> <br />ELECTRICIAN L COMPANY, (tJ.5 EI,..cr ~ .I;,t:.. <br />~ -/4- State Cert. or Regist. f 6Jt: 6bt>2.l>Y~- <br />SionAtur '/'?"/:.. ~7A./.Z:- City License Registration' ?~ <br />~...................................... <br /> <br />BUILDER <br />Signature ~J...aJ U <br /> <br />COMPANY ~ ~ -..r7L4vt <br />/), } /.1 t1/ .I. ~ State Cert. or Regist. f /(:?" ~ <br />~vt7J l7t~Pf City License Registration' /3,? <br />. .................................~..,.... .'f C <br /> <br />MECHANICAL ~ L' I L:~ COMPANY (C-A C. Co...,LJ1J , <br />~/)/., / . State Cert. or Regist. f CACo '. <br />Signatur~-<-.e.; .. City License Registration f 8-1, <br />.......................................... <br /> <br />PLUKBER <br /> <br />Signature <br /> <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />. .. <br /> <br />APPLICATION APPROVED B' _:~~:'.,',"';,~,~.....; <br />: -~~: <br />... . ._,0{"'- __~....~..__.__'~._ <br /> <br />r-... . <br />i ~ -PERM....~OFFICgt.:..-." <br />