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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME <br /> <br />oZe. t:~}J t.u~Fd~o <br />~~?O ~ff!-c6j /<-fl <br />.fiIiil. Lo (/9:: Elf i! .R If? ~ <br /> <br />PHONE j 7btJ - (7 'il. <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />;g IdJ7~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL J.D.' ~ ..2~ c2.r 06t1d ()Il/()Q /15 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair lbnstall <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />/~ S~~ <br /> <br />BUILDING SIZE: <br /> <br />g <br /> <br />-yO I AJ Sn'f1:-<-- <br />xi 6 ~ Square Feet. <br /> <br />??" XeD <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ArrACK (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ArrACK (3) SETS OF BUILDING PLANS & (1) SKr ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />71 l&Vt) . c!\J <br /> <br />PERMITS REOUESTED <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 />--1IECllANICAI. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />Bun.DER <br /> <br />CONTRACTOR SECTION <br /> <br />/~~~::_-) COMPANY ~.u~7mL:__ <br />/:~"~-~ ./ R i , <br />;...<.?~~~{//./ State Cert. or eg st. <br />y.::--;;;;.;..,,<":'~_.-,.- ,.,.,' . . City License Registration , <br />, ....-.... ..' ----- <br />.,:::.--..- ..*......................................* <br /> <br />I/-w 11 {//J tJ'1 J?Uc <br />70 <br /> <br />Signature <br /> <br />RT.RCTRICIAliI COMPANY <br />State Cert. or Regist. t <br />SiQD~ture City License Registration , <br />.......................................... <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.....................................*.**. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <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 PERMIT OFFICER. <br />