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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME . <br /> <br />6~;..) J !-to (t- (~, ;J s <br />(). O. '!30r-- ;' ?ff-7 <br />:7 6' 7' S- 6-/Z.-rz ~ /r./ 5: LO(?/E <br /> <br />-/. ,v C <br /> <br />PHONE "7c.F:z - / F' G? <br /> <br />OWNER'S ADDRESS <br /> <br />2-H?~5 7JsJY-/rF7 <br /> <br />JOB ADDRESS <br /> <br />d~. 'Z - /-fc t't' > <br /> <br />LEGAL DESCRIPTION: LOT(S) ./;4 BWCK <br />PARCEL I.D.' :3 '1- 2S ~ ;;Lf -00 I () - 6/300.- / 2-- <br /> <br />SUBDIVISION <br /> <br />G- /t- .~..... d (.:to /t.- / UJ /V f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair' -x'Install <br />_Sign .--Move _De.olish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />~/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />_Other <br /> <br />_Restaurant &: Health Department Approval <br /> <br />DESCRIPTION OF WORK: -:; E r U jP mt:IT .6~/e ~' /l7 E <br /> <br />BUILDING SIZE: U4. /19 '2, Square Feet.. Height <br /> <br />RESIDENTIAL: ATTACH (2) PWT 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 />(;u /;~0 <br /> <br />(S;~b~ ~ <br />I <br />/ <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />.&ELECTRICAL <br />hCHANICAL <br />K... PLUMB~NG <br /> <br />$ <br />/;:)0 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />r:. Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ ~2..c>=... <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _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 <br /> <br />~ <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <Zu ~~ h r? / / <br />~ ~ State Cert. or Regist. , <br />(iJc~LJJ,. City License Registration # <br />. ..........................*****........ <br /> <br />/H .1i.S. <br />~!? <br /> <br />Signature <br /> <br />ELECTRICIAN . ' " <br />_ '/ 'i .,.'! / <br />( - LI .' I/!) J (, 1/,", I I <br />SilUlature .-/ LrL.(.::.Y::- t- x ',> '" ",' ,- <br /> <br />-1 ./} (I , A':/J C" <br />COMPANY lie e IT (/-r~r'J9 -f- <br />State Cert. or Reglst. 41 [;.j C-()c\ 00 <br />City License Registration t / 6'~ <br />- <br />..*..**..*****..****..~**.**..**.*...*..** <br /> <br />.' . <br />I.!...I " <br /> <br />MECHANICAL ,j, '0-; <br />i / .0 / / - /-:7 0), r,'" I/~! A /'v <br />S gnature L-/ (",t... "'1C" C II j ~, )1 V v, <br /> <br />PLUMBER '" COMPANY t%3 tJ ffF/C ;:;5 /c! <br />iA-/ -r?""~~ State Cert. or Regist. f <br />Signature ~~~ City License Registration f <br />.* ..**...**..**...*...***.*.**.......*.* <br />, '7 <br />COMPANY Ie r;? / c,: <br />State Cert. or Regist. f C <br />City License Registration , <br />**.*********~*..*.*.**.****.****.*.*...**. <br /> <br />~~, /(.S <br /> <br />46> <br /> <br /> <br />~:;:/--') c <br />co') C; ", 5' ')- <br />~r <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration t <br />*****.*********.**..*..****.****..****.*** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />