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<br />'" <br /> <br /><" <br />/-,- .. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />'- <br /> <br />GJf!-A-AJ J. 4c/t-1 z..-a...J-5 PHONE 3S~ - S-~3 -/711 <br />VJ. ~ ..~)4 ;:;'?-I./ ~ DAJ f1. cry <br />7 h ~.:>- G/ZarUIJSt..cfYL /::)tt, <br />LEGAL DESCRIPTION: LOT(S) S7 BLOCK SUBDIVISION &~J 1~f-z-cNS <br />PARCEL LD.t 3'f - .:) J - ~ I - 0 c I () - 0 13 fS>-{) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />"3 3 ::,-~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Family _M/F _' of Units -pIH <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />____Restaurant " Beslth Depsrtaent APProva~ __ ) <br /> <br />DESCRlPTlOR OF WORK: ~-'7? M/# GS 1)0 _ <br /> <br />BUILDING SIZE: :;.. 7 x~..2,- ~ '-kJ aj ...-Square Feet. Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~ELECTRICAL <br />~MECHANlCAL <br />-1:-PLUHBING <br />TYPE OF CONSTRUCTION: <br /> <br />) ~--O AIIP Service <br />/ 4' 5-0 <br /> <br />, <br /> <br />Valuation of Total Construction <br /> <br />+Florida Power Corp. <br />Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />tlt~ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Block <br /> <br />_Fraae <br /> <br />_Steel <br /> <br />Other <br /> <br />YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fl' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />............*.*.....*......*...*........*. <br /> <br />0LtJKBER <br /> <br />CONTRACTOR SECTION , <br /> <br />COIIPAIIY /l, ~d H7-!5 <br />~~ /? A State Cert. or ist. # i <br />U-J 0;;.- A ~ City License Registration t Ya" <br />.* ....*****.***......*.*..*.....*....... <br /> <br />ELECTRICIAN ~ COMPANY ce ~(rPI'; .e r;)Z- )'-/q-" :;:4' c~ <br />f. /J.I) State Cert. or Regist. i..:::' S C~ Cl 00'6 I <br />SillflAture C/1 u.e~ (D...e,. oz.u-v City License Registration * ! 8"7 ' <br />.**.**.****..*******.**.**.******.**.***** <br /> <br />COHPARY t8~ ;?y,/;/S <br />/ /I /J State Cert. or ist. t ' . <br />Signature CJa...r- ,6'~ ..1"# City License Registrstion t y Y <br />.. ........**..*.*..**.*...**..********.. . <br /> <br />COMPANY c.e ( (2.j!r; .R r <br />State Cert. or Regist. <br />City License Registration # <br />....*...***.~*..*.**...*.*....*..****..*.* <br /> <br />BUILDER <br /> <br />0ignature <br /> <br />MECHANICAL <br />Signature ~ fJdf ~ <br /> <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />....**.*.**..***.*..*.........***..****.*. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />