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<br />APPLI~TION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />I ,- ~ / ~ 17 <br /> <br />OWNER'S NAME C~\ \4\;...\ob~D PHONE "l ~ &' ~ '148-J <br />OWNER'S ADDRESS 3~4d- ~ ~~ ~D<.Jp <br />JOB ADDRESS 3~4d-"3 ~CAUt-~ ~ - L<-phy~Yt~US J F'L 3~s4..L- <br />LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION ~~cll)oo ~ <br />C>~ IC> "- <br />PARCEL I.D.' \b.-.:lto .~\ - 6\~o - 00000- ~~ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ition --Alteration _Repair _Install <br /> <br /> _Sign --.Hove _Deaolish " <br />PROPOSED USE: ~le F8Ilily _H/F _, of Units _H/H <br /> _ec-ercial _Indust. _Swill. Pool ___Other <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: \ 0 <br /> <br />_Restaurant Ii: Health Depart:llent Approval <br />Rbom ~P:~(6':; <br /> <br />~, l <0 0 Square Feet. 8' Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (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 />-LBUILDING <br />~cnuCAL <br /> <br />PERMITS REOUESTED <br />$ 5 S60 Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: Block ~ralle _Steel Other <br />FIRISBED FLOOR ELEVAnONS: CSS FT. IS PROJEGT IN FLOOD ZONE AREA? ~ <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />~~~~ <br /> <br />State Cert. r Regist.' <!.. 03 ( A- <br />City License Registration f <br />. ....................................... <br /> <br />ELECTRICIAN . COMPANY ~M.\-(t\J ~~'cz <br />~ ' State Cert. or Regist. # ~ -eol ~~ <br />SianAture '/1~ City License Registration # S ~ '7 <br />. ........................................ <br /> <br /> <br />COMPANY <br /> <br /> <br />v' <br /> <br />/ <br /> <br />PLUMBER <br />Signature --f.J lit <br />I <br /> <br />COMPANY <br />State Cert. or Regist. , <br />_ City License Registration , <br />.......................................... <br /> <br />KECHANIGAL <br />Signature rul A- <br />I <br />OTHER ~~ COMPANY ~cx.- ~")UCtu~ <br />. . State Cert. r Regist. # ~e. 'OO&llo4?) <br />Signatur -- City License Registration # E) 9) <br />........................................ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />..................*.................****.. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />