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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />()'7Cr.JjC . <br />i' J<.-r r '--'. ~'7V <br />:;D U? ~ /1 <br /> <br />OWNER'S NAME c;:< I) Ss 'E 1- L Y\'\. <B Ro w /,( <br />OWNER'S ADDmiS S::< 35 ti bJ G:. E L tQ co () ~T <br />JOB ADDRESS 470~ SIL V{~'f( (':-'RC(-l~} z' HILLS (=I 335 Y- \ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C\i l4 L FOt---11 <br /> <br />PHONE "7 if () r I ~6 '2~ ~- <br />z 'H {LLS <br /> <br />FL 3354-( <br /> <br />V \ LLH..$. <br /> <br />PARCEL I.D.t (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSBD:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: LSingle F~ily <br /> <br />____H/F <br /> <br />____' of Units ____H/H <br /> <br />____eo..ercial <br /> <br />____Indus t. <br /> <br />____Swtm. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: . CJ1 IUJA J.... b ~ >>urJo.L t3 b S~D -' <br />BUILDING SIZE: ~x~~'b21 J 70s Square Feet. is ' Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS RBOUESTED <br /> <br />~BUILDING <br />~LEC'TRICAL <br />J MECHANICAL <br />L'PLtJHB~NG <br /> <br />$ <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: LBloclt ____Fralle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES <br /> <br />\/ <br />NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br />C~ <br />COMPANY 0 <br />(:J State Cert. or Regist.' .:. (1::- eel ,-) <br />11"ll}~1! tl 6Y\. ~ \.-t'l. L-~ City License Registration' 7_Cf- '3 <br />****************************************** <br /> <br /> <br />Signature <br /> <br /> <br />ELECTRICIAN <br />SiROature ~ I 1).1} f2 tt <br /> <br />COMPANY ex lJ SS E LL )y~ <br />tf\'1 n1: v,...... A . State Cert. or Regist. , RI1 <br />~~ J~ v~~~ City License Registration' <br />****************************************** <br /> <br />rl~ Q Cl Lt.1 l't <br />()() I 0 "5~ , <br />\ c? <br /> <br />PLUMBER <br /> <br />COMPANY 'XUC;'<;6LL lYl. 'h H. Vl.vl~ <br />(:) - N1 r:J State Cert. or Regist., CI= (.'. (') 3<1 q (~ ( <br />/~ " 1. .I}'~D~ City License Registration' In'7 <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />QIVldL <br /> <br />COMPANY ~ U C;C; EL I IV\ j~ R (\ \. \) Id <br />(-:J State Cert. or Regist. , C- ti CC:..> Lf- I Z~::; (t- <br />r\ll. -,)-:J ~"^- City License Registration f II <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 />