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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;;2 0 - ~ " <br />-rn J-:::- J 0 __3/'-71... <br /> <br />OWNER I S NAME ~ ~j' c/J / lAy/'-' <br />OWNER'S ADDRESS /9 6~/ ~ <br /> <br />A~eR5 <br /> <br />PHONE Cf 1/- tJ t.t <br /> <br />JOB ADDRESS ~ - ~ I;.. "L'. - n \~ - <br />LEGAL DESCRIPTION: LOT(S) =? 8 <br /> <br />AN.LI'L ~. 9bi4r <br />lo~\ \-..~unro~ ~ ~l.~r~\\s, <br /> <br />SUBDIVISION $/Lvee OAKs <br /> <br />_.--' <br /> <br />BLOCK <br /> <br />PARCEL I.D.' O~"~Io""~\-a\~O-~-O~\OOB (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: XNew Construction _Addition _Alteration -Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: Y Single Faaily <br /> <br />_KIF _' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />~ # <br />DESCRIPTION OF WORK: C//#"A:'( - 'S/.N"~ P*NhL/r ~C< <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ L/d t?tJCJ Valuation of Total Construction <br />, <br />/60 AKP Service X Florida Power Corp. <br /> <br />$ C;:,1C/d Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELECl'RICAL <br /> <br />_MECHAlIICAL <br /> <br />_PLUKBING GAS <br />TYPE OF CONSTRUCTION: XBlock <br /> <br />sk",,,,k! ROOFING <br />v <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FDUSBED 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 />.mUg ~o..~~. lUIPAIIY ~ ~~ ~~ <br />tiL '$ State Cert. or RegtS . . C CO - .-1;Z <br />Signature ~ City License Registration' /?~ <br />~ ***************************************** <br /> <br />F.T.RCTRICIAN COMPANY,J,t,S 13 leer ~ Lnc <br />~ -jJa ~ State Cert, or Regist.' ~JI(~>!ov.,- <br />SilmAture J1'~ ,'7)1/1 City License Registration' '7 0""Cl <br />****************************************** <br /> <br />/ <br /> <br />PLUMBER COMPANY ,#~ ""'f" ~ <br />/ ~)/1 ,.1/ /.4 _ State Cert. or Regist.' /06 \ <br />Signature ~ ~ fS.!..~ City License Registration t /. ? 1) <br />****************************************** ,/ <br /> <br />MECHANICAL ,," ___ COMPANY --A e c--Jl (c ("0 <br />:=--- A 1\ "()ri L State Cert. or Regist. # CAC..o 3"2- <f 47 <br />Signature "~~~,,.p,,--,,"------ City License Registration' ri..'93 <br />- <br />****************************************** <br /> <br />/' <br /> <br />:rt.._ure. .:.::':'?- L ~1~ o~e~:~~~~i:" . <br /> <br />Si~_ ~************************************** <br /> <br />~,..-,. <br /> <br />APPLICATION APP~~Ifi'Fw:'.~.-;~ <br /> <br />... "':;4'( ": <br /> <br />, t'~: .:_~'~mc <br /> <br />bU' <br /> <br />,A ;-., <br /> <br />....j,..~ J.-.._'; <br />L__..,- <br />