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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME BfrUSl'J5-rlt Jtto/V Pll-ItJ< 'j){jf11 If JIll/fA!) PHONE <br />OWNER'S ADDRESS 2801 /.11101& 51icEff. 2-€PI-IVRf/llL<5, rL, 335~o <br />, , <br /> <br />JOB ADDRESS 5r/rv; e <br /> <br />LEGAL DESCRIPTION: LOT(S) {7 L( <br /> <br />BLOCK <br /> <br />SUBDIVISION L III/co",) qG/6l1r$ SOL:> <br /> <br />PARCEL LD.' It- :26;!../ tJ:Lfo tJPtJtJ() t?~~O (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ----Alteration _Repair """"'---Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />~eaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_H/F ~f of Units _HID <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br />I I <br />BUILDING SIZE: 2- ~ X -1-(. /.t-oO Square Feet. <br />" <br /> <br />, <br /><;{ Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />/BUILDING <br />./ <br />_~CTRICAL <br />~CIIAIIlCAI. <br />/PLUKB~NG <br /> <br />$ ~JoW, (fV <br />. <br /> <br />/ So AKP Service <br />~ <br />$ 1- I 1-PO, <br />. <br /> <br />Valuation of Total Construction <br /> <br />./ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Hechanical Installation <br /> <br />GAS <br /> <br />~OCIt <br /> <br />/ ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FDfISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />Uc- <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 'OMI1> JOIIAl5dA; // !3dlLDelZ- <br />State Cert. or Regist. , (Ire:. 1>2- g36"f <br />City License Registration' 1l?7 <br />**************************************** <br /> <br />~ <br /> <br />BIITI.Dm <br /> <br />~oIIlilJll!;w,.,~ .:".' COIIPANY VU6u/C;- 2' (C'€t;C;g; <br />~ State Cert. or Regist. , <br />SitmAture Po tl C4f ~ f I!!-~ City License Registration' <br />****************************************** <br /> <br /> <br /> <br />/ <br /> <br />Signatur <br /> <br />'/<:- E <br />State Cert. or Regist. t <br />City License Registration . <br />****** ****************** ************ <br />I -- <br /> <br />A=& J) COMPANY '\..- <br />State Cert. or Regist. t <br />IYL ~ ~7 City License Registration , <br />, ***********~****************************** <br /> <br /> <br />/' <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />J <br /> <br />MECHANICAL <br /> <br />V" <br /> <br />Signature <br /> <br />f1 <br /> <br />t" <br /> <br /> <br />COMPANY D-4-V/ L> ;::/D~'u5t:JN/j3LlILD{!:7Z- <br />State Cert. or Regist. ',/{c...([)O;';i~5'</~ <br />City License Registration , {J I R~ <br />****************************************** <br /> <br />v <br /> <br />OTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />