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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.' .0 <br /> <br />~~Ni I-!oteIZO,v.s <br /> <br />(? c ::60)C ~ 'J,.t.( s- D~fi (, ry .$ 3 '>2. " <br /> <br />JOB ADDRESS 7' 9 S- (;~fE.G-tJ SL.ofe LJ~. - Z- -I-f .ff $ <br /> <br />LEGAL DESCRIPTION: LOT(S) 6, () BLOCK <br />PARCEL I. D. f '31 - ~ s- - ~ I - () c/o - c.' / ? () c .- 0 (1 <br /> <br />PHONE :3 ~-l. - S';1.3 -171 ( <br /> <br />OWNER'S NAKE <br /> <br />OWER'S ADDRESS <br /> <br />SUBDIVISION <br /> <br />G-p",rt- .~ '-~ f-k J'-j Z ;-:'.~ { <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ---Alteration _aepair ~tall <br /> <br />_SigO. <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />_ec:-ercial <br /> <br />_M/F _' of Units ~M/H <br />_Indust. _Swia. Pool _Other <br /> <br />PROPOSED USE: _Single Faaily <br /> <br /> <br />I (CiLf_square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br />~CTRICAL <br />~CHANiCAL <br />~~NG <br /> <br />$ <br /> <br />/ So <br /> <br />Valuation of Total Construction <br />AMP Service ~lorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~ 3 a~ Valuation of Mechanical Installation <br /> <br />.... <br />/)/~ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />~CIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~/ <br />YES NO <br /> <br />****************************************** <br /> <br />BUII.DER <br /> <br />~ignature <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY &..:{~ /n. H .5 <br />~ State Gert. or Re st. t _ <br />w~/l City License Registration . a" <br />*** ************************************* ~ <br />() . /:'"' <br />COMPANY C.Q... '/ '"')J-I el' 7"/0 IIJ...) 4.1 c , <br />,f /J L) All State Cert. or Regist. E$&'0060 f <br />si~AtureC~ f/J.ett't:7'W1..... City License Registration f / F 7 <br />****************************************** <br /> <br />F.I .RCTRIClAN <br /> <br />KECHAHICAL <br />Signature cW tJJO'L<;~ <br /> <br />COKPANY &.~ ~. /., ..s <br />~ State Gert. ~r R ist. t <br />.UJo.y--lL!_ City License Registration 41 l' <br />**** ************************************ jY <br /> <br />COMPANY C -'2.. '{ i'-( .Q}- l'1--r/~ '" :;: AI c-~ <br />State Cert. or Regist. 41 ~ <br />City License Registration . <br />***********~****************************** <br /> <br />PLUMBER <br />V Signature <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />. <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />