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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />~o~ lA)Sd~? <br /> <br />PHONE Ii S CJ~6 7 <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS 9 M.~.f.AC~ Pd\.N IE- <br />LEGAL DESCRIPTION: LOT(S) b^- BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -"ddition _Alteration _Repair _Install <br /> _Sign ---"ove _DeJIOlish <br /> . <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/B <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Cf\~-iJ()\Rl. ~ \<f\J. Ur(L t\y <br />/ ) <br /> <br />f\O C) f\!l <br />, ) <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square F~et, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDlRG $-3 ),.00 "" <br /> <br />.......-..---:-::-...::::::.=--,,-~-~_._-_._._.'" <br /> <br />C__-~~GR----.../ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power. Corp. <br /> <br />W.R.E.C. <br /> <br />--1fEClWfICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIJTlJ)ER <br /> <br />CONTRACTOR SECTION <br /> <br />@l COMPANY (/ c)l.-fj CdN>T <br />State Cert. or Regist. t J'f 8'0 <br />City License Registration t <br />I ......................... ............... <br /> <br />Signature <br /> <br />ELECTRICIAN ~_____ COMP <br />== I ~t State Gert. or Regist. · <br />flc City License Registration' <br />~.......................................... <br />COMPANY '(, \:. ~ <br />State Cert. or Regis~. <br />City License Registr <br />...................... ...... <br /> <br /> <br />Signature <br /> <br /> <br />CO ANY <br />State Cert. or Regist. , <br />City License Registration . <br />..........~..........................*** <br /> <br /> <br /> <br />- .. ~~.y)b j' y) C <br /> <br />PLUMBER <br /> <br /> <br /> <br />Signature <br /> <br />;).O~a <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY ~(Y7eMGl) PehAJtC- fAf<k. /YlolJEt.5- :HJc <br />State Cert. or Regist. , <br />City License Registration' :20 :;1..1 <br />.......................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />