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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />07<1-10.," 19' /~.~f" <br /> <br />OWNER'S NAKE c;:< I ) 55 ~ 1- L Y\I\, <B Ro w /,( PHONE --7 '{) (') 'I :-61-. ~- <br />OWNER'S ADDmiS S::<35 ti bI G:: ELtQ CO()~T z '14 ILLS FL 3 '25Lt- ( <br />JOB ADDRESS /+ 7 b 2 5 I L V~-'R c:'-, R c U~. Z ' HILL S {= 1 3 '5 5 Y- \ <br />} <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION C \i l4 L 'FOt---li V \ LC_H <:;. <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 <br /> <br />____, of Units ____H/H <br /> <br />_ec:-ercial <br /> <br />____Indus t. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: . ~~ 'Wt.<JM Bbs~ <br />BUILDING SIZE: ~x~~'b7jID3 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 />~LECTRICAL <br />~ECllANICAL <br />L'PLtJHB~NG <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.Bloclt ____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 \KU Sc,ELC 22 . ~ f.{Ol,\.)/,\ <br />(:J State Cert. or Regist.' . (1:- Co ....!, 1(, \ \ <br />11"LI}~~tl 0\, ~ 'W"\. L-~ City License Registration' ?-Lf-3 '10 <br />****************************************** <br /> <br />COMPANY ex lJ SS ELL tv, h Q [) Lu I\-.l <br />Q State Cert. or Regist. , RI1 ()() I 0 r:i~' <br />if\] 1::':>vOLL'\A- City License Registration t \c'? Jf <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiROature ~ I 1)/) Q tt <br /> <br />PLUMBER <br /> <br />~ COMPANY 'XU<;S6LL lY\. '~ ~(Vlv/---l <br />State Cert. or Regist.' CJ':- CD :~<1 q L~ (. <br />fY\. ~ )..-ol..t.A/L City License Registration' I n07 <f I <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Q~ <br /> <br />COMPANY Cf< u SC; ~L l. IV'\M R (, \ did <br />V\/\ nl State Cert. or Regist. , c tieL..> Lf--l 1.-; q.. <br />, r I . '..1":) itul.A-V\....- City License Registration' II ('1 r <br />***********~****************************** <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />