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<br />OWNER'S NAKEt.'~7v.....~ ...,?v1~/I~ O.;1QvC /' <br />( <br />OWNER'S ADDusUi5-d7' ~7 ~~ ~ <br /> <br />5~ <br /> <br />< t) A g'/I't AJv 5-<.O..;;L <br />APPLICATION FOR PERMIT (f)'uV4l. , ~ ~ wi (fO <br />CITY OF ZEPHYRHILLS '. J<-/ L.~1 J <br />BUILDING DEPARTMENT . AJ ~ ~ <br />W. ,j/* <br /><P~NE ; <br />S>/u ~ /JA~ ~~L ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ? ~ <br /> <br />BLOCK <br /> <br />SUBDIVISION S't /o~,. ~ <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />----.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8Jlily <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: ~/ ~,.~ ~a..~~~ <br />BUILDING SIZE: 2. (I X 30. ~ Square Feet. 7 Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />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 />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CllARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block _Fr8JIe _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUlI.DER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />F.l.RCTRlClAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SitmAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />10 <br /> <br />KECHAHICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHRR ~~...,...,~.5; ,~ COMPANY ~_~ a ,-.L) <br />. ~ ~ State Cert. or Regisi': t' K..}l.. lk> t/'1 ;J...cr3 <br />Signature ~~ City License Registration' /pS"f <br />****************************************** <br /> <br />,./- <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />