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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />/119-/(010 A11,rrle.s <br /> <br />~ lWl/f,Q W$~ <br />JOB ADDRESS S &- tJ 'IV ~~'-"Z!."",,-L~ <br />I ;)... BLOCK <br /> <br />PHONE <br /> <br />:7F3" bO't? <br /> <br />OWNER'S ADDRESS <br /> <br />PARCEL L D,' <br /> <br /> <br />SUBDIVISIONJ/.AfV! A.t.i?JLvI'1In <br />- €J 1.,/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPOSED: <br /> <br />____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~ngle F8IIily <br /> <br />-"ove <br /> <br />_Deaolish <br /> <br />____KIF <br /> <br />____, of Units <br /> <br />I' <br /> <br />~/H <br /> <br />_ec-ercial <br /> <br />_Indust, <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />____Restaurant Ii: Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: d.l..f X l(o, 960 Psquare Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />rCAL <br />~~CHAlJICAL <br />--..LPLUMBING <br /> <br />$ <br /> <br />/ ~OO C) <br /> <br />Valuation of Total Construction <br /> <br />;)....00 AKP Service <br /> <br />Florida Power Corp, <br /> <br />W.R.E.C. <br /> <br />$ /o~ <br />10-& GAS <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FIlJISHED FLOOR ELEVATIONS: <br /> <br />FT, <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER ~~ COMPANYS~ <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />r<1Bttl1:9 4.l E [Jf)/ If ;-8 <br /> <br /> <br />COMPANY <br />State Cert, or Regist. t <br />City License Registration , <br />****************************************** <br />J <br /> <br />PlDIBp ~ C COIlPANY :i.''''/'' J... t/n"S'/4/i. <br />State Ce t, or Regist, , '7o/J <br />Signatur ~ City License Registration , '- 1/ <br />****************************** *********** /' <br /> <br />KECHANICALet-. , ~ @ffi.~ COMPANY e ~ <br />, . State Cert. or Regist, f <br />Signature () "p LC ,,-t;A~ City License Registration t <br />*":A**..*~***~****************************** <br /> <br /> <br />~ L.-- ~ <br /> <br /> <br />OTRRR COMPANY <br />State Cert, or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />