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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAMED A-tu So J.v.f. <br />OWER t S ADDRESS '3 q 1/1/ () <br />JOB ADDRESS ~7 6;f'A y Jl h ~ I L <- <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />..<; Pml-1 ft)~~')U <br />(~U ~ ~~ <br />3'3~40 <br /> <br />PHONE tf~3--/Yt'--6?f~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair iInstall <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeIIOlish <br /> <br />pmPOSED~E: _SiqleF~i~ <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />....:!(..eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: P,n ()~. /A/c:;t-dlrrrJ:IA} <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~KECllAliICAL , <br /> <br />AItP Service Florida Power Corp. <br />$ ,;< / {)tJ $! Valuation of Kechanical Installation <br /> <br />W.R.E.C. <br /> <br />_PL~ING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAC'l'OR SECTION <br /> <br />BUTIJ)ER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />1q.R.r.TRTCIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />....................*....*.*.*.......*...* <br /> <br />SionAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />~ ., *.*...................................... - <br /> <br /> <br />IIIlaIWCAL?L: d ii1.. roHPAllY--1tcc UJ? Wf?L ttt/b ~$ <br />~ """ . ~ ,. " /' State Cert. or Regist.' ~CO <br />Signature / .~ / City License Registration , <br />~ ..**.*.** *..******.**...*...**..*.*****.. <br />/ . <br />I <br /> <br />Signature <br /> <br />. <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />...***.*...*...******..**.*.***...**....*. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />