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<br />- ~~!..~_fif~~~~ <br /> <br />---- <br />--- <br /> <br />-/"'1 <br />l' (I : <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ G# ~(71!#p <br />a:( 96~-/sd;)7 <br />FA-X 0<6S--Cl7~~ <br /> <br />OWNER'S NAKE j},fl,E/d -I/v/y/~~ <br />OWNER'S ADDRESS 2~ f/s J - .S r( <br />:? g-4/s J - -6- i{ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />~v;s: <br />~CJZ= <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.D.# //-0< (; -;;?/ -C/O/cJ -/S- ..:JOt? t:70E?-o (oBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~eration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De-.olish <br /> <br />PROPOSED USE: _Single Faaily <br />~ercial <br /> <br />_M/F _' of Units _M/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORk, ,-~ ~ ;Y M- b' ;:2.';1/<:1' .4&~ ,.(4:;:, C7 jf;r-;"- <br />BUILDING SIZE: X , <3 77~ Square Feet, .?~t <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />/O~ddC <br /> <br />" <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CllAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUII.n:r=2; . COMPANY I":Z ~Fh: ~.NCld <br />~~ State Cert. or Regist. . ~ ~ <br />Si"""": ~ City License Eistration . <br /> <br />:::::::~Q......::::::..:::::::.... ............,, <br /> <br />J State Cer or Regist. # ~ ~ :> <br />- -- City License Registration' ,I" !(.>~ <br />****************************************** <br /> <br /> <br /> <br /> <br />COMPANY Lftl€'1o <br />State Cert. or Regist. <br />City License Registration t <br />************************************** <br /> <br /> <br />, <br /> <br />1IIlaIAN~ COIlPARY C6-/II S,EA'.tI'C~ <br /> <br />State Cert. or Regist.' l:?6 <br />Signatu .- City License Registration' - <br />. *****~****************************** <br /> <br /> <br />t; <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />