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<br />" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE r J A rY7G.5 'f- <br /> <br /> <br />OWNER'S ADDRESS :f9 630 <br /> <br />~7??C- <br /> <br />JOB ADDRESS <br /> <br />OIf/L-1S W ,fJrs PHONE/ ~'-. ;1--/~5 <br /> <br />C~~4C;6"""'7 /e4 ~~T -#~3 <br />,r <br />AJ-s A'8d~ <br /> <br />LEGAL DESCRIPTION: LOT(S) --Z <br /> <br />BLOCK ~ SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FOlily <br /> <br />_H/F _, of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. _swta. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: /:t.-- X 3 ~, 37'(; Square Feet, ~ 1(, 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 />/~UlLDING <br />/ ELEC'J"RlCAL <br />~CAL <br /> <br />_PLUMBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _FrOle _Steel <br /> <br />Other <br /> <br />FIlU.SHED 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 <br /> <br />~~d3~ <br />State Cert. or Regist. . . P..~ CC <br />Signature k u r-r A IleA.. City License Registration . ~-3 <br />****************************************** <br />. o~R- U' #a lFI\ OOIlt.51J <br />Rl.RCTRIClAN l rod 2-f'2...J/?4 COMPANY Li /le.t A.: t' ( ~~ ~ ~~ <br />LI'(/~,/ Ain:.l'Ifd. <,wl1-lr State Cert. or R gist. . r. 0 . ~(Jl.lf1 <br />SionAture t=rlli/6I yJ D# ~ # l'l!.a.-J f> .)?,,/{ City License Registration t . ~( <br />************* **************************** <br /> <br />, <br />COMPANY <br /> <br />PLUHBER ~~ ~~ COMPANY <br />-7/ .j... A State Cert. or Regist. . <br />Signature r[ U r{ J I t'_ A' City License Registration' 1'1 k..3 <br />****,************************************* <br />I f"O () 2 ~-wI1"'I . ~6 c.o. c:, 0 <br />MECHANICAL I-i'lf~y^,.yc"t(d, COMPANY L.'II t"'Y~lrr ~t7l1d .~~c <br />EJi ~ J i. --"'~ State Cert. or Regist. t r ~VCJ rl1' 7 <br />Signature l~-:r 15 k OWVZ'c..]"" City License Registration' /? r <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />