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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHB Cf<IJ S5 'E I-L l'V\, 'B Row 1....( PHONE '71f 0 . 'l 'l? '2~4- <br />OWNER'S ADDmiS S::<35 ti bJ G: ELtQ CO()~T Z 'H ILLS FL 3, 3~;4- ( <br />JOB ADDRESS J.+7b5 SIL VGR (:-'RCLJ..~) z' HILLS (=I 335-4 \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C\i l4 L Fot---rr V\LCH S. <br /> <br />(J"-' r /OJ.-, ~> '~ <br />J ,< J'J 6 --/7- ~9 . <br /> <br />PARCEL I.D.' (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 ____, of Units ____K/H <br /> <br />____eo..ercial <br /> <br />_Indust. ____Swim. Pool ___Other <br /> <br />Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: .~~ ~ ~D..s~ <br />I I , <br />BUILDING SIZE: 3CJ x~~'b2 /703 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 />J MECHANICAL <br />L'PLtJHBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />100 <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 />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY (I~U ~c,G'L_c 2?. 'l3 ROl.UN <br />(:J iI'V'I r:J State Cert. or Regist.' ~(i' _ 0 '2, I (, \ \ <br />11'-L~\.~ Ll IJ' \, 'J"}"\-rl L-~ City License Registration' 7_Lf- 3> <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiROature ~ t I)~ f2lJ <br /> <br />COMPANY ex lJ SS ELL M '?, 12. () k! 1\-\ <br />Q State Cert. or Regist. , RIl (')() I 0 r5~' <br />m 1: :':>vOLL"-,- City License Registration' \ c? <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ COMPANY 'XU<;SGLL lYl. J~n.VLv/---l <br />State Cert. or Regist.' CI= Co 3<1 q c~ (, <br />. fY\. ~ }l.:fLlA/\.- City License Registration' I n"7 <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Q~ <br /> <br />COMPANY c;<. U C;C; EL I. IV\ M R. (, l~) 1,1 <br />M n State Cert. or Regist. 4# C tlCu 4--1 ?~~; (t- <br />, r I . -,I":) ~'^- City License Registration' '7, <br />***********~****************************** <br /> <br />MECHANICAL <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />