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<br />.. <br />I <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. -- 30'- triJ ' <br />rx~ -/1'6 <br />I j} //!J <br /> <br />OWNER'S NAME M ;(,--,h4e// r. q, ReheL-a, L. HowurduoNE <br /><JWIIER's ADDRBSS ~()D;/L Profi ~{)J.;Vlj hi r d t,~ IPphl.frh:/Ls F/. J3St1(J <br />JOB ADDRESS ~ 'c2. _ - S ~ . h ( I <br />LEGAL DESCRlPl'ION: LOT(S):) BLO I SUBDIVISION fYJ () b ie ;)" r; t' cS -I flj j; 1- ; 0 n <br />PARCEL I.D.' I LJ - ;) ~ - ;) J - DD I!J - / /)() 1/- ()()S ()(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PRoPOsED:lNew Construction _Addition -..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: lSingle Faaily <br /> <br />_KIF _' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK,: [) /DL-A S i n8/~, rwn: / y r~s {ckh {;q / f}el.n <br /> <br />BUILDING SIZE: &x 3 t, qSt) 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 />lBUlLDING <br />LELECl'RICAL <br />LMECHAlIICAI. <br />-LPLUKBING <br /> <br />$ 31t ~DO; u7J <br />(;Jc1) AKP Service <br />$ 1 (DO. 0 D <br /> <br />Valuation of Total Construction <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />LB10Ck <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? L <br />YES NO <br /> <br />****************************************** <br /> <br />MECHANICAL <br /> <br />COIITRA=~Ectrfu J I !iuMe <br /> <br />State Cert. or Regist. , <br />City License Registration , <br />~ ***************************~*j*J******~*j* I' - <br /> <br />ELECTRICIAN ~r-- .... -, COMPANY ~J{l n fer I r' (. (i C- <br />Sj.....ture ":;~~-- ~~~\~::;'e o~e:~:~~~~i:'" ';;'3? <br /> <br />******************~********************** <br /> <br />" {) 11 ',,' II - ,/,\ Il / I'J <br />PLUMBER .. COMPANY . ) i t' 1/0 0 r I f/ II.I l'1-1 L) . ,1. c <br />v/?".'l .A / State Cert. or Regist.' - ('- <br />Signature l(/]1 l( /, 1/UWlX1,,,? City License Registration' <br />****************************************** <br />"7 <br />/ <br />COMPANY \ U 17 ((1 <br />State Cert. or Reg t. * <br />City License Registration , <br />***********~****************************** <br /> <br /> <br />pt,' <br /> <br /> <br /> <br />Blrrl.DER <br /> <br />Signature <br /> <br /> <br />Signature <br /> <br /> <br />L1 <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />