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<br />OWNER'S NAKE rfLrO I <br /> <br />OWNER'S ~DUSS 3 &?/5 <br />JOB ~RE:;-;O t~ ~J- <br /> <br />LEGAL DESCRIPTION: LOT(S) #-3~ <br /> <br /> <br />APPLICATION FOR PERthT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1Rr- q i'~ <br /> <br />BLOCK <br /> <br />8/3 -1 j 1- 3 ?tJ9 <br />P-}~ 3 b71 _ <br />511/JVt OQ ) e Ju 'Vb <br />SUBDIVISION 5', /1/ UL OcL/GJ... - 5T-epJnns CleJJ <br /> <br />PARCEL LD.' OJ -<;<f~ - d 1- 0 I~O - QQJoo - 03;;lD (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:6ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_H/F _' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ~0 <br /> <br />N e.w Wr\('~ hloer- ~&iJi)cV <br />~ I <br />X hd . ;;(SlffL, Square Feet. 'b Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT 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 />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ ~S,O()(1 Valuation of Total Construction <br />;;J...OO AMP Service X Florida Power Corp. <br />$3r;:[VJ eO r: Valuation of Hechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />---1IECllANICAL <br /> <br />_PLUMBING <br /> <br />GAS <br />LBlOCk <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fl" . <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRActOR SECTION <br /> <br />II11P1lBR ~ lDlPARY . . e <br />, State Cert. or Regist. , <br />Signature' City License Registration , <br />***************************************** <br /> <br /> <br />V' <br /> <br />=:u ~ COIIPARY~[),~..,<r -r;:;.vv;;del <br />,--. State Cert. or Regist. , <br />. ---,-<~;'. ~ City Liceuse Registration t 3:.u? <br />* ************************************** <br /> <br />?GP <br /> <br />vj' <br /> <br />PLUMBER J' COMPANY . <.. f <br />, ~ I ' State Cert. or Regist. , <br />Signature ~ I; 7 /~ City License Registration t <br />. \!****************************************** <br /> <br />KECHANICAL~ ~~ COMPANY f10VIRONI}'JEN7i\L C~.fT'Rf:)<!.rOi::~ <br />- ~ State Cert. or Regist. t 0.3 <br />S~ture .. . - _ "" _ ___ City License Registration . 0 <br />******* **~****************************** <br /> <br /> <br />y/ <br /> <br />(".. <br />V,., <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />