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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(f)2.F'pd;. (p.' I~~(r&. <br />5D <br /> <br />OWNER'S NAME Cj:<lJ5S'EL-L rv\, <bRoWI'( PHONE 7J'6() rl"62~_ <br />OWNER'S ADDRESS S:<35 A bl G:. EL~ COU~T z '\1 IL.LS FL 3. 354- L <br />JOB ADDRESS 1+7 04- 5 I L V,-:;R (':-/ R eLl:::) Z ' HILL S (=I ~3 3 5 Lt- \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C\--l14l Fo~n-- V\l Lvl <..;. <br /> <br />PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Kove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____H/F ____, of Units ____H/H <br /> <br />____GoI8ercial <br /> <br />____Indust. ____Swia. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: ~,(f) ~ ~ ~ 6 so-lu.h , <br />f I .0 ( <br />BUILDING SIZE: 3 Cf X 1+:7,'f,') J 70 3> Square Feet, 0 Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />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 />~LEGTRlGAL <br />J KECBAKICAL <br />~PLUKBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />100 <br /> <br />AMP Service <br /> <br />,/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: LBlock ____Fralle ____Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l \.../" <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />(". <br />COMPANY <br />c:-J ~ State Cert. or Regist. , <br />11Icl).~~ Ll M. 'J'")"W"1. L-'^-. City License Registration' <br />......*****..*....*..*..*....*..***.*.**** <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />SiRlUlture ~ .l)/) (2 Lt <br /> <br />COMPANY Cf< lJ SS G LL M <br /> <br />1{\'1 Q....Lro:-t. A _ State Cert. or Regist. 41 R 11 <br />~ L/Y~~~- City License Registration t <br />.*..******.*...**...............*********. <br /> <br />("?, QOLL1f\..l <br />or) 10 "'i~' <br />\{,'? -39 <br /> <br />PLUMBER <br /> <br />(:). <br />~ (Y\. r:hJ.n-uA/L <br /> <br />COMPANY 'XUC;S6LL lYl. J2> ~(Ul.0'~ <br />State Cert. or Regist. t C\=" ("':.0 >""1' 1 q (, <br />City License Regis tration f I nOl 51 I <br />...*.......***........................*.** <br /> <br />Signature <br /> <br />Signature <br /> <br />QIYkLL <br /> <br />COMPANY <::f< u c;. S EL l IV\ '0 {\ C \ l ~j "I <br />tV\ n State Cert. or Regist. f C- ~CD Lt-l Z>~; L.... <br />, , I ' " )'J ~~ City License Registration' --I -; , i Y <br />*.*.***..**~*******.****...********.***.** <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />...*****...**.******..******.************* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />