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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'7Krf~~fcJ ;;~9f;" <br />1~ $Y &-)~ <br />. f3 5--. <br /> <br />OWNER'S NAME ~1)SS'El-L y\,\, <BRow/,( PHONE "-:-;'B'C) '/~6?,~- <br />OWNER'S ADDRESS g::< 35 ti bJ G: E L tQ co () ~T z.. ' HILL S F L 3,:3 ~ Lf- L <br />JOB ADDRESS 4-11 E: 5 I L Vl;f2 c:, R CLi.::) 7_ ' HILL s: (=I 33. S- Y- \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C\i l4 L FOt---11 V \ LC.1i\ <;. <br /> <br />PARCEL I.D.t (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSBD:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: LSingle Family <br /> <br />_KIF <br /> <br />_' of Unit.s ____H/H <br /> <br />_Comaercial <br /> <br />_Indust. <br /> <br />____Swim. Pool ___0 t.he r <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:~ 1~ ~l >>urrul U nu{;p 0-, <br /> <br />BUILDING SIZE: ~x~~'b211;) hb Square Feet. is ( Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />~LEC'TRICAL <br />~ECBANICAL <br />L'PLtJHB~NG <br /> <br />$ <br /> <br />100 <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />,/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -L.Block _Fralle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? \/ <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY ~ .C <br />(:J l:J State Cert. or Regist. , <br />11,LI).H II M, -J"':> \--M. L-V\,. City License Registration , <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiROature %1 !)/~{2tt <br /> <br />COMPANY ex lJ SS G LL )V\ '?, QOlt.If\J <br />((\1 nl: vOLL'\A- Stat.e Cert. or Regist. , RI1 on I 0 ri~' <br />::L:..J . J':) City License Registration , \ {,,?, -39' <br />****************************************** <br /> <br />PLUMBER <br /> <br />Q COMPANY 'XU<;<;6LL lYl. ('12> n. Vl,V/---l <br />State Cert. or Regist. f C~ CD ::5.<1' t q (. <br />j ~ fY\. ~ )..-o"LLN\...- City License Registration , I n' 7 $I / <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Q~ <br /> <br />COMPANY Cf< U <;<; EL l IV\ M R (, l ~j Id <br />n State Cert. or Regist. t C ~C(..J Ll- 11.-::; q.. <br />m ' -. )-::J ~~ City License Registration' 1/ J f( <br />***********~****************************** <br /> <br />KBCHANICAL <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Regist.rat.ion , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />