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<br />" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/ d- -/ / ~7 b <br /> <br />OWNER'S NAKE Go I PI QF ~ Pltl'<t' I'- H",",l.'~ ':::. <br />OWNER'S ADDRESS 5" 33~- tat>H-r S-r- <br />JOB ADDRESS ~~T PA$.c.o '(tf1(Jt P,~r..... TIT: <br /> <br />PHONE <br /> <br />'37 z.. i ~1 G..-fi... 41"L \t. T~-D <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ..LAddition ---Alteration ____Repair ____Install <br /> ____Sign _Move _Deaolish <br />PROPOSED USE: ____Single Faaily ____M/F _, of Units ____M/H <br /> ~<=<-ercial ____Indust. ____Swia. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: &Dt:- h-D(;);j")Q~'~ I I N ~1'r,l?~I(..m~ riN'J.rn(.~ <br /> <br />BUILDING SIZE: 45" X 7l, 3l~ <br /> <br />2[) <br />Square Feet, ' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ 408~lo- <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL ,$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block _Fraae --X-Steel <br /> <br />Other <br /> <br />FINISHED 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 />COMPANY P~m,," R.~,..) &.....1r <br />State Cert. or Regist. ',' _- <br />City License Registration' I J 3/ <br />* **************************************** <br /> <br />. COMPANY [)i\J~J.~If'\f1..:) ~wt,(.r (.QI'Y'P~"( <br />::::.w!B L ~ L State Cert. or Regist. f IC:)L- A OOOO"l..'Z..l" <br />e 6J. L. oJZ_ . City License Registration f 11~5 <br />f ****************************************** <br /> <br /> <br />(k(, BOOJ.C:,<1f. , <br />V <br /> <br />BUILDER <br /> <br />v <br /> <br />PLUMBER <br /> <br />cg ~ CllIlPAIIY 61\<(.......1+. Po,,,,,.. PW\'>03Mr <br />t . /~' State Cert. or Regist. , LF<..o4Z.'1&j~ <br />City License Registration t 21 <br />****************************************** <br /> <br />v <br /> <br />Signature <br /> <br />KEGBANIGAL <br />Signature ~ <br /> <br />COMPANY "& H mk.t-M N \'-f.l1- . flU"(... <br />Q..J1, _ L State Cert. or Regist. t t:...ADoq"7,n <br />~ City License Registration' I ~l--.(,? <br />************~***************************** ( 7d I <br /> <br />/ <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />.., <br /> <br />PERMIT OFFICER. <br />