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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />flf ~ <br />/00' <br /> <br />OWNER'S NAME /~t' r LJ'/~4t.-'.; ~ PHONE %13-7/.)"-O/3g <br />OWNER'S ADDRESS t: 5/ 7 /1,/' <-41c" e LJ /? . "5 5 S </ / Z -e-",.a~.;./(' # t"/. <; <br />JOB ADDRESS tf.s/<-I .,/. G.57t ;.S~tt:UJ j)b~ :?A~--r~~~) 5YS-S// <br />LEGAL DESCRIPTION: LOT(S) 3// I- 3 {3 BLOCK SUBDIVISION S/L~ (J,Qk~ <br />PARCEL LD.' S-fe... A7VJ'lu~ 5it.A-VJ (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:~W Construction ~ddition ~teration _Repair _Install <br /> <br />_Sigtl <br /> <br />--1love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~ <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 100 <br /> <br />- <br /> <br />/f/e.vJ /Yt~77 /,p(1P1/:5 /)v ~U-<, L///.LA <br />/ <br />X 70. 3650 Square Feet. /:f? Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />~GTRICAL <br /> <br />~CAL <br /> <br />_PLUMBING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br />AMP Service ~rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />:2 () () <br />. ,ooLl.~ - <br />$ d ~tJO ~.s11J.e; Valuation of Kecbanical Installation <br /> <br />GAS <br />~oclt <br /> <br />~OOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />YES <br /> <br />/ <br />~ <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />.1" <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />~ ~- COMPANY Au"2/-Tt?~ ~/L- <br />A _ ~ State Cert. or Regist.' ~~ I?t? EJ6 32.. tt5 <br />~ L~ City License Registration' /.3:2- <br />. .............. ........................... <br /> <br />~ () / Il COllPAlIY f}1U<? Kkw,e, .&n:.UC/.(: <br />t~ State Cert. or Regist. t / <br />e .................~~~~.~~~=.::~~:~~:~~: . J: Ii< '1 V <br /> <br />JIL <br /> <br />BIITT.DER <br /> <br />Signature <br /> <br /> <br />COMPANY ,Q7~'/\"'/? <br />State Cert. or Regist.' crco - 4 J- <br />City License Registration' ..2 <br />~............................. <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY ..50/1./';1/ 5 S <br />State Cert. or ~gist. f A:J,l1 Of)(~ </.5/ <br />City License Registration' rJ..()(" <br />......................... <br /> <br />OTRRR ~ .~ <br />Signature ~~ <br /> <br />COMPANY /30z:e:Tr"cA' fA./~ <br />~a. . -. ~) State Cert. or Regist. t ~ ~1?-5h326 <br />/l/ City License Registration t / .3.:z.. <br />................................******.*.. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />