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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />? I j-l-'-/3 <br /> <br />OWNER'S NAME C~\ ALJ <br />OWNER'S ADDRESS 6 1 a.. ~ <br /> <br />~ f\v; ..~ <br /> <br />PHONE 9J.5'""'~ /;) ;l~ <br /> <br />........... <br />} '1 - ~\'U_~ <br /> <br />JOB ADDRESS 67d$? /9 tl.. STr.u+ ..2<~I-h'{(H.'LLS FI .33S'LII <br /> <br />LEGAL DESCRIPTION: LOT(S) ODS] <br /> <br />BLOCKD'78'a>SUBDIVISION ObIO <br /> <br />PARCEL LD.' /1-,J.Io-;2J- 0010--0"7 ~CO - cvS-1 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> _Sign -.JIove _DeIIOlish <br /> . <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: '........,0 ~c...n_c.,J ~">c)yY"'o. ~,.;:"to S'\'O{"A?( A,("( A <br /> <br />BUILDING SIZE: <br /> <br />-; X dd., ).s-LJ <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COKMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ';/:? n. 0=0 <br />/ <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 />-.JIEClWiICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIJlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Bml.DER <br />Signature ~ <br /> <br />CONTRACTOR SECTION <br />COMPANY f}-/~ <<. r y G-"7 f're>..-c ~ <br />, <br />State Cert. or Regist. I <br />~ ~ City License Registration . <br />****************************************** <br /> <br />~. <br /> <br />J1rCJ/r <br />, <br /> <br />F.T.RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiQDAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />~CHANlCAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED' BY PEltKlT OFFICER. <br />