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<br />OWNER'S NAKE ~ ~/1'( (1/1 01 W ~ '/JLu . <br />OWNER'S ADDRESS .:l SI '7 rZ$I" A./ If11 M~<-Q <br />JOB ADDRESS j Jj~/'V%JJ~ I FL. <br />LEGAL DESCRIPTION: LOT(S) 8' 9 BLOCK <br /> <br />/j) Pt!. <br />33 ,I) Lf. I <br /> <br />PHONE II1j.Lv <br /> <br />"q1 <br />/10 <br />&1 <br />~/ 9~ L/ ? tJ. L/- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: 4/J. Ild /Jf~ <br />BUILDING SIZE: lAx I;J., Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COtlHERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V'iUILDING <br /> <br />$ ? CtJ(.!!- <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 />---'lECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FDnSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA"1 <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BlrrI.DRR COMPANY <br />ff ' //J t! - . - State Cert. or Regist. · <br />Signature ~ tLY.f..J.-u ~ City License Registration' <br />****************************************** <br /> <br />F.l.RCTRICIAH COMPANY <br />State Cert. or Regist. , <br />SiQQAture City License Registration , <br />****************************************** <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />************~***************************** <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br />BY~.~ <br />~ <br /> <br />PERMIT OFFICER. <br />