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<br />OWNER'S NAME SAY ell//1Ige A {/t ItCef0' <br />~ II <br />OWNER'S ADDRESS/9~5 / e~(AC<: <br /> <br />JOB ADDRESS 1.-0' '> I /\/OfJTA <br /> <br />~ <br />t.1!I Ke <br /> <br />IJ (!? (,A) ;I ~ <br />LJR/Ue <br /> <br />rvt ~gO'~/~'~/4 <br />r' I ~ a5-~ 11)::~ <br />,P -u <br />PHONE (S-0 19/-736.6 <br />-ri:1 n1 /J # PI-A <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ I BLOCK SUBDIVISION Sit V'eR OAKs' <br />PARCEL I.D.' .2-d.t:,-~/ - O/6n - 00000 -CY) I () (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED: X New Construction --Addition --.-Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: X.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: SliJfte FA",.. /Lr 12~' <br /> <br />BUILDING SIZE: X . ~ 6'31j 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 />_BUILDING <br /> <br />PERKITS REOUESTED <br /> <br />$ I () 000 Valuation of Total Construction <br />, <br />/ So AMP Service X Florida Power Corp. <br /> <br />$ ~ 300 Valuation of Kechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />_MEGJIAI[(CAL <br /> <br />_PLUMBING GAS .5hAJyI".P ROOFING <br />TYPE OF CONSTRUCTION: ..2S.Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDlISBED FlOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FlOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAClOR SECTION <br /> <br />RUIIDRR /?J~~ lDIPAIIY~ ~ ~ <br />~~v '~ State Cer . or ReRf .f __ _.Y C.~C631333 <br />Signature .<l ~ ~ City License Registration' J <br />,*.*************************************** I J?~~ <br /> <br />RT.RCTRICIAN COMPANY3q1 J" e/~&<r CtP in c <br />~ L ~ State Cert. or lleglst. f C 0z7<> 2" S( $- <br />SiDnAtur . ~ City License Registration' 71?O <br />**************************************** <br /> <br />PLUMBER COMPANY ?f'~ V--;~ <br />/' ---. <br />J/ J{) 7/ /, _ State Cert. or Regist.' /' /.) c;" \ <br />Signature (A/ " r' V'-c~ City License Registration t / jf'/. <br />****************************************** I <br /> <br />MECHANICAL ' ) '\ COMPANY --A e c- ~ Ic- C~ ~C <br />(- J fJ I iJ rJ ~ State Cert. or Regist. . c.,p c.. a '3''-- '-I L/ 1 <br />Signature ~ ~ City License Registration f a- (.13 <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER <br />