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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />:5J.- 7'1f'_ !;-ljf'l <br />57?";: /~ . u-D <br />PHONE 3 S <~ - 7 9 t.- S i S I <br /> <br />OWNER'S NAME S <.l N 71?-tJ 01 I3IhJ J<. N 4-nJ ~E <::"0 A- .s ,. <br /> <br />OWNER'S ADDRESS / E.4..5T Jc~..5~NI ..5T J ./3/lookSU'LU=) F;L 34"'0 \ <br />JOB ADDRESS 543.5 C,4LL &-UD.} 2:C'"r'y J2 J-JiLLS " PG, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROH PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -LAlteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />-A..-eo.tercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: ..eNS rn-Ll. <br />/ I I <br />BUILDING SIZE: ~ X ~ <br /> <br />U N/S E)( /-/1h..JD, (. ~ /2FS T /200.rV1 <br /> <br />3r:o <br /> <br />Square Feet, <br /> <br />\)/ <br />c:::"l 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 />V ELECTRICAL <br />,/ <br />_MECHANICAL <br />t./""" PLUKBING <br /> <br />$ <br /> <br />5,000 <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 />ISo <br /> <br />05;: <br /> <br />Valuation of Hechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block <br /> <br />V Fraae Steel <br />- - <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F1' . <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />V <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'l'OR SECTION <br /> <br />BUILDER) /)' /;;/ COMPANY LA.s~\c\<. C.NG.\~..)\:t;:\~~\..)... <br />/ I ) -1-__ State Cert. or Regis t.' C c. <br />Signatur~/.~~J (i",t,.~ . ~./ Cs.~ City License Registration' \q <br />1/ / / * **************************************** . <br /> <br />,- () COMPANY /Z1 c) ~ <' /' ;::k J~;- c- <br />~( ~.// State Cert. or Regist. t ~t2.0oo S- I ~ 2- <br />L y-- City License Registration f JE){)~ <br />t ****************************************** <br /> <br />~ COMPANY' ~/~ G Plv <br />1M' ~ 17~ ({ . State Cert. or Regist. f <br />Signature 'f.! II.I"J/U.(I f/ ' \..... City License Registration f <br />r ****************************************** <br />I <br />/' MECHANICAL . COMPANY Scv,,,'V\: .Yt:; L'\ c <br />, t j / ,-,., c::> f\ \.\~. State Cert. or Regist. f . ~(y\(,O n 3(f~ <br />Signature .J.::0 ~ ~ UIJ.J ~ City License Registration f .Jb 2-B~ <br />******** **~****************************** <br /> <br /> <br />'\ <br /> <br />:::CIU {' aY~ <br /> <br />v <br /> <br />PLUMBER <br /> <br /> <br />v- <br /> <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 />