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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~; i~ <br />~J<1~!"~~ . <br /> <br />OWNER'S NAME AGAPE "BAPTIS,T c:'J.JuRC.H <br />OWNER'S ADDRESS .:3 q 7..3 5 C J-/ R /\ILlS Y 'R c.M b <br />JOB ADDRESS 5AME As A13DVE <br /> <br />PHONE ~1?-1ll'il' )~"l,O '!1~'1q'i- 02~:; <br /> <br />LEGAL DESCRIPTION: LOT(S) OOSU <br /> <br />BLOCK'CO IDO SUBDIVISION OO()C~(- <br /> <br />PARCEL LD.' e.4-2h-2J~OlJot)- 00100 -no5lJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />____, of Units _M/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool ~Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: S tor ~e. - <br />BUILDING SIZE: J t.c X 2.Z, ~~S2 <br /> <br />t. ?e: CT \/1"gE STA.lIlhING <br /> <br />G~RAGE <br /> <br />I <br />Square Feet., /2 Height <br /> <br />RESlDENTIAL: <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 />" <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ $1D.2 DO <br /> <br />Valuat.ion of Tot.al Const.ruction <br /> <br />____ELECTRICAL <br /> <br />AtlP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____KECHAlfiCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~FrUle _St.eel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: I <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? -L <br />YES NO <br /> <br />****************************************** <br /> <br />t,. <br /> <br />CONTRACTOR SECTION <br /> <br />BUIWER COMPANY ~A~reR GARAt;€ MU't.l:>i5R.5 <br />~ t7 I v L) State Cert. or Regist.. , t..Rc- O.e:;'10'fA <br />Signat.ure II~J /) fL)~ City License Regist.ration , J 77 7 <br />***~********************************** <br /> <br />ELEGTRIClAR COMPANY <br />St.ate Cert.. or Regist. # <br />Signature Cit.y License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />KECHANlGAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />***********~~***************************** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />