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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE JAME.S A.ub u.)~IJ:bA EAi G,EL PHONE <br />OWNER'S ADDRESS~I ~KCR..ES[ WAf ZE..'?tffR.HtUS <br />JOB ADDRESS 0 .4 h1E- <br /> <br />7 8 d.. fa (j ..;~ <br />3 3 S-t{- I <br /> <br />LEGAL DESCRIPTION: LOT(S) q <br /> <br />BLOCK <br /> <br />SUBDIVISION OAK t!..~T blfi~3 <br /> <br />PARCEL I.D.' O~;2.." ~ I Oa?O DOoOO 00'10 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: _New Construction --x"'Addition ---Alteration _Repair _Install <br /> _Sign _Move _DeJIOlish <br />PROPOSED USE: -x'Single Faaily _M/F _' of Units _M/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ADD ';;l. X I <-I ~mrL'1 KOO r'Y\ <br /> <br />BUILDING SIZE: I ~ X I tf, I /p ~ Square Feet, 8 I Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUlLDING <br /> <br />$ <br /> <br />~3t./-() <br /> <br />Valuation of Total Construction <br /> <br />....2LELECTRICAL <br />-LKECBANlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />/d)..S DO <br /> <br />Valuation of lIechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CORSTRUCTION: ~Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? X <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />S2 COMPANY ~-,y)ftR-K (]~~? <br />~~ r. rr-J State Cert. or Regist.' ~Cr(\....otf3 3 S;-'I <br />Signature ~ ~ City License Registration' 10 i <br />****** ********************************** <br />€:J.J"'E.~ l>R.,~E"S <br />=ClANEflJ ~ ~ COMPANY ~lIk.IfI4JJ -Sy'~~l11s-=siY . A ':r;.;~. <br />to. State Cert. or Regist. f E..iZ. OC/3S"ir3 ./ <br />ure City License Registration' /5"9 I <br />********* ******************************* <br /> <br />Bun.nER <br /> <br />/. <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />COMPANY G-IVtRoNtYlWrAL QONi~~ <br />State Cert. or Regist. t C<I1QO 8 a..... <br />City License Registration' lO 3 <br />******************************* <br /> <br />/ <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />