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<br />. . <br /> <br />APPLICATION FOa PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME C HIt~ I... € ~ U OJ To Il./ PHONE AJ-tJ 1(; Co <br />OWNER'S ADDRESS 3 q~ 30 c ~lJhC€'f t€d. ~. Sa X '06'2. Ce.yst41 ~7S., t= L 33S"~'1 <br />JOB ADDRESs.3cr~~o c.tltJlfK.o/ Rei ~f 5''1 .2~,.oU./,~"d/S I FL. .33 S 2...t.( <br />LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION f:WJ/tJ9.lcI 16;,.,,.(- RU f?~Sdlti- <br /> <br />PARCEL 1. D. # :2.~~ :2.lo~e:l.I- 0000- 0 (:>1 0 - 0 ~9 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair ~stall <br /> <br />____Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~ngle Family <br /> <br />_M/F <br /> <br />_, of Units <br /> <br />_M/H fAiC" ~ode ( <br /> <br />_Commercial <br /> <br />_Indus t. <br /> <br />_Swim. Pool <br /> <br />_Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: R U S 5(. <.{ P <br /> <br />BUILDING SIZE: I.:J.. X ~c..(. if 0 X" Square Feet. IL 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 />V' <br />_ilUILDING <br />v""ELEGTRlCAL <br /> <br />$ <br /> <br />.21. SO 0 <br /> <br />Valuation of Total Construction <br /> <br />~ 0 AMP Service <br /> <br />Florida Power Corp. <br /> <br />~.R.E.C. <br /> <br />_MECHANICAL <br />~LUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />.***.*.*.*..****..**.****.**************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />9 COKPANY us II- RJ...5 ALsC 5 <br />L ~ ~- t1 /J State Cert. or Regist. # !tv 10 c.f 0 <br />~ City License Registration # I <f C/ r, <br />*****....**.**************...************. <br /> <br />v <br /> <br />Signature <br /> <br />ELECTRICIAN <br />S iRWi lure CktcA fl~;UF1- <br /> <br />COMPANY ;fc ~ /::L. e c r <br />State Cert. or Regist.' L-sooo(;O (o~ <br />City License Registration Ii -Ii, Y j~ <br />**..*.*.**...*.******.**.....************* <br /> <br />........... <br /> <br />PLUMBER <br /> <br />COMPANY J/.& /"JillcJr. ~ /1-L€ 5 <br />i.~ u..J ~ State Cert.. or Regist. # U I 0 ~ 0 <br />~ City License Registration # /1 c.t- c., <br />**...**.********************************** <br /> <br />t.,.../" <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COKPANY~ . _ _ _ , <br />State Cert. or Regist. ,_- <br />City License Registration # <br />*.*.*.**.**~********.****.*.*************. <br /> <br />Signa ture '-- <br /> <br />2II:mB. COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />********************.*********.*********** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />