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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ~€.0 i...J~YM4->0 <br />OWNER'S ADDRESS 6(S~S ~ .R.. S4- w - <br />JOB ADDREss..3] 4 \ ~ C ~ w.sLQ \:) a... 'i v-e.. _ <br />45 <br /> <br />PHONE ,92-oel.. 5 <br />Zcy> L., y (zJ1 ~ lls I (J _ S ~ s 4-L <br />I ~ <br /> <br />z-~.tls - ssS~1 <br /> <br />WORK PROPOSED:~New Construction _Addition ---..Alteration _Repair _Install <br /> _Sign ----1Iove _De.olish <br />PROPOSED USE: hingle Faaily ----111 F _, of Units _M/H <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />---..Restaurant & Health DepartJllent Approval <br />DESCRIPTION OF WORK: ~ ~~ <br />BUILDING SIZE: ~~ X'=>'-I ,G 'C//:3SQuare Feet, 8 ( Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COKHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />--BUILDING <br /> <br />PERMITS REOUESTED <br />$ 5 y(jOO Valuation of Total Construction <br />ZOc:YJAHP Service Florida Power Corp. <br /> <br />~R.E.C. <br /> <br />_ELEC1'R.ICAL <br /> <br />---..KECHAlilCAL <br /> <br />$ 2000 <br /> <br />Valuation of Mechanical Installation <br /> <br />~UHBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _Block ~aae _Steel <br />FlRISHED FLOOR ELEVATIONS: <i ~ FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />Other <br /> <br />L <br /> <br />.......................................... <br /> <br /> <br />~HTRACTOJl SE<;IION <br /> <br />BUILDER ~ COKPAIIY 1\'1'''''I\-,:) CCNskv.d-fo"'! <br />~ State Cert. or Regist. # e/De.-O~5 13 + <br />Signat" V"'- --- City Liceose Registration' Q1. '7''5'' <br />. ........................................*. <br /> <br />YES NO <br /> <br />=t~~ <br /> <br />ELECTRIC~~ --~ COMPANY ~A1L{.rD 5kc.,+-ru~ ~__ <br />r:-.,-A A .1 ..~ State Cert. or Regist. . e.RODI~q.'f'1 <br />Si_tur~ \~ F~ City Liceose Registration' :}..\ <br />y . ........ ......................*.*****.. <br /> <br />PLUMBER COMPANY ~r~ ~utetfS <br />~ ~ State Cert. or Regist. , K:F-OCl (g~~5.3 <br />Signature 0...... ~ .. City License Registration #I Be t.- <br />- ---.......:* .......****~****.........*.*.*.*. <br /> <br />KEGHANICAL COMPANY BAr--h It \ ~ ~ ...J- /Jr (L- <br />..i-- ~ /- State Cert. or Regist. 41 BA-&.- Cl"l 3'\4 ~ <br />Signature~O J,....., ,/ City License Registration t I. ~ <br />*******~*************************** <br /> <br />~ 'COMP~l(~ ~S.J-~#4,.,J <br />State Cert. or Regist. , \<<:- OO(.,J~4e; <br />- City License Registration' ~~j <br />******.*************.******************* <br /> <br />APPLICATION APPROVED BY <br /> <br />. <br /> <br />PERMIT OFFICER. <br />