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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME Ge \\.1 e lAJOR1:::>€,;) PHONE I b ~- ~Sd.l..- <br />OWNER'S ADDRESS ~ '1, .~ 4- ., \... \ e \") ~f" L(lO() -4.~ c"DR \ II C <br />JOB ADDRESS ~-,:54 '\ l:(')"( D5C.Lo0N~ "bIZ \U~ <br />LEGAL DESCRIPTION: LOT(S) I 0 BLOCK SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />\. (:) . d-<.c '. ~ \ - 6 \ ~ 0" b 0000 .- C 700 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction L~ddition ----Alteration ~epair ____Install <br /> <br />____Sign <br /> <br /> <br />PROPOSED USE: ~le Faaily <br /> <br />~ove <br /> <br />____De.olish <br /> <br />---1.'1/ F <br /> <br />____, of Units _M/H <br /> <br />---.ec-ercial <br /> <br />____Indust. <br /> <br />____Swill. Pool _Other <br /> <br />~estaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: G J A. S S <br /> <br />R.. <:.J () IY"l <br /> <br />~ 0 f-!-'6l\J <br /> <br />BUILDING SIZE: \ 2.. X \ q .. Z 1- '6 Square Fee t . 'C; <br /> <br />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 />-0"UILDlNG <br />~ELEcnuCAL <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />\ 0, ~ 0 0 Valuation of Total Construction <br />./ <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.KECllAliICAL <br /> <br />$ <br /> <br />;....")/ It- <br />I <br /> <br />Valuation of Mechanical Installation <br /> <br />----RUKBING GAS ROOFING <br />TYPE OF CONSTRUCl'lON: ____Block ~raae ____Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDllSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER ~ COMPANY ~ It rnf\~ CON.s~~Uo-<:.--J..:jO t\.J <br />State Cert. r Regist.' CBc:_- 03.SI'~ 1- <br />Si_t~ ~ City License Registration' ..2 "7'( <br />. *************************************** <br /> <br />~. <br /> <br />~ ..~ COMPANY '1Y\~ Ch-(~ <br />,. . . State Cert. or Regist. , ~(t.. - 06\34-4- <br />- e ~ n ~--:::r.. City License Regiatration' ~ 1\ <br />************ ***************************** <br /> <br />/' <br /> <br />PLUK8~ <br /> <br />COMPANY <br />State Cert. or Regist. t <br />t\) / It- .. City License Registration # <br />I ****************************************** <br /> <br />Signature <br /> <br />KECHANI~ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />A)/A- <br />I <br /> <br />ll1'IIIlII ~ COMPANY l~-^($;Y\c--<-v:. (1.u\;vA~ <br />~ State Cert. Regist.' e(' -~loi~ <br />Signat ...... - ..... City License Registration It .5"' <br />* ************************************ <br /> <br />Signature <br /> <br />V". <br /> <br />APPLICATION APPROVED BY <br /> <br />. <br /> <br />PERMIT OFFICER. <br />