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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(;)f rjJL vft . . <br />V 1() 1u/ . &/~1 <br />!J (tj] t... <br /> <br />OWNER'S NAKE ''111a~' E ~O(' (>'. ~ I-+a [l <br />_'S ADDIUlSS {,z OJ if 'fQ. k C )?r;:st l~s ?e~y' hi D ~, ~. <br />JOB ADDRESs (0 OJ 'f 'f cP)6tk C ~ Set _ ~ 6e --:-Na" l-lt II OS -E J. . <br />eX , BLOCK. SUBDIVISION ~~, Cc:;,~ (-e> ~ <br />"'Se ~)-e <br />PARCEL I.D.' C;;A -~ ~ -;?J. / _ <br />WORK PROPOSED, V;;ew Construction --...Addition --Alteration _....ir -Install <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />_Sign <br /> <br />---Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: ~Single Famiiy <br /> <br />_KIF _, of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia, Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: C:S., AJ:> I ~ ~ rY\ ~ l ~ ~-e 51 j) {1Ilee... <br />BUILDING SIZE: 5?-- ~.:J.lf';)..f:; Square Feet, c7-0 Height <br /> <br />RESIDERTlAL: <br />COMMERCIAL <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 REOUESTEQ <br /> <br />_BUILDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />-'fECHARlCAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIRG GAS ROOFING SPECIALTY <br /> <br />TYPE OF CORSTRUG'l'ION: -LBIOCIt _FrUle _Steel Other <br />, <br />FlRISHED FLOoR ELEVAnORS:~FT. IS PROJEG'l' IN FLOOD ZONE AREA? <br /> <br />/ <br /> <br />****************************************** <br /> <br />YES <br /> <br />NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTIO~ <br /> <br />COHPARY t.13 ~- C01VS-\(ttc.ti ~ j... ^" <br />State Cert. or Regist. , <br />City License Registration , <br />*******~*****~~~*****~*********;:**:* <br /> <br />/,2..~f. COIIPANY~7"~r e &"-- ~I'f;w ~tC/ <br />j~ - State Cert. or Regist. # €R O'-C I.Z--u, <br />City License Registration # 1l~~ <br />***************************************** <br /> <br /> <br /> <br />Signature <br /> <br />PLlJMBQ COMPANY \) <br />o ..nf\~ State Cert. or Regist. , <br />Signature J~ City License Registration . <br />****** * ******************************* <br /> <br />IfECHANI~~. . ~ COMPANY '::;;OC-/7HE:L- CO~. ~ <br />- ~~~ State Cert. or Regist. , <br />Signature / -- /~. City License Registration , -S-:S <br />************~***************************** <br /> <br /> <br /> <br />Q1lIU <br /> <br />COMPARY G:-8~JG+ C:.&2N'S-\('C-LC-.Ll ~'/I- ;:- AC <br />State Cert. or Regist. , R.6daa.J,~3 ~ <br />City License Registration I <br />****************************************** <br /> <br />WPLICATION APPROVED BY <br /> <br />PERKlT OFFICER, <br />