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<br />./lJ <br />t <br />~ <br /> <br />qD <br />!jO <br />~"O <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/' I~ <br /> <br />I ( ~ "J. 0 7~ <br /> <br />" <br /> <br />OWNER'S NAME <br /> <br />MR 5 MP~ ~TMnN SNT~FR <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />6150 16th st. <br /> <br />JOB ADDRESS I; ~ 0 ~ 1.1<., A.4f. 1 JJ,S (; /...... tr:ru <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION s: t 1\4'('7 0 ~t<j" <br /> <br />PARCEL 1. D. f '3 ;t,.t(p ~ 1 <br /> <br />/~ 6 <br /> <br />136 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />1L-.Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />concrete pool <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 11:).000.QO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Serv'ice <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CllABI.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlIiISHED FLOOR ELEVAITONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BunnER <br /> <br /> <br />Q>>WANY HOME TOWN POOLS INC <br />State Cert. or Regist. f CPC 025542 <br />City License Registration f <br />****************************************** <br /> <br />COMPANY L ~ \:\ ,,-~ ~ &-€.U"- <br />State Cert. or Regist. . 0 c>O ~ C:. .s- <br />City License Registration' ~, <br />************************************* <br /> <br />'ffo <br /> <br />PLUMBER. <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />. <br /> <br />Signature <br /> <br /> <br />COMPANY HAWLEY ALUM. <br />State Cert. or Regist. f <br />City License Registration f <br />************************************** <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />