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<br />6-fl ;17 <br />~'Yl. F y s- <br />Ol/NER'S _~<.),.v r-TAvnlY\v R'frYl-..J mONE ~~_ bS I'+- <br />OI/NER'S ADIJJIEss J.qS2:, ~ '2.:,~. ~~ \,...!2JU. <br />JOB ADDRESS\.SJ>/.?- \ b~ SVtD o'l- ~~\u OQl. <br />LEGAL DESCRIPTION: LOT(S) 41';) (". 0' BWCJ<; \ S SDB01VISI0N ~ i ~ ~~ <br />PARCEL LD.f I J- c;L 6 - c) / -- 001 ~cJJ~~o 1 9 --.5- -h(QBTAIN FRO~ P~OPER: T~ NOTICE) <br />WORK PROPOSED: ~w Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />____Sign <br /> <br /> <br />PROPOSED USE: ~le Faaily <br /> <br />--..Kove <br /> <br />____Deaolish <br /> <br />_M/F <br /> <br />_' of Units ____M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant & Heal~ Department Approval <br />DESCRIPTION OF WORK:~ ~~ <br />BUILDING SIZE:~. \S~'i Square Feet. f?> Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~U1LDING <br />V EI.EC'l'IUCAL <br />~KECllAllICAL <br /> <br />$ 45,Doo <br />, <br /> <br />ISO <br />$ ~~oo <br /> <br />Valuation of Total Construction <br />AKP Service VFlorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />-0LUKBING GAS ~. ROOFING <br />TYPE OF CONSTRUCTION: 6lock _FrlUle ____Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES <br /> <br />c:iD <br /> <br />CONTRACTOR SECTION <br />- <br /> <br />BUILDER --.~. COIIPANY~ CmA~ <br />- ........ \--- State Cert. r Regist. t <.:6<2 -0 351 ~4 <br />Signa~ ....... - City License Registration' ~ 94- <br />**************************************** <br /> <br />~ ~ COMPANY.2fh--lU'i...cm ? Jl.sJ. tt-~ <br /> <br />if ///1 -. . State Cert. or Regist. t <br />-, 'e "tV.. , . (J City License Registr~tion . ~ "'" J.).l. <br />......:r.................................. <br />,- <br /> <br />COMPANY~ <br />/J) hl/1/1 ~ State Cert. or Regist. , <br />Signature ~ 6(/~~ . City License Registration , <br />************ ***************************** <br /> <br />~. <br /> <br />/ <br /> <br />PLUMB~ <br /> <br /> <br />/' <br /> <br />~- COMPANY ~CL~ ~ ' <br />State Cert. or Regist. # A <br />c.....~" City License Registration # <br />****************************************** <br />JlIIIIlB ~ COIlPANY C1u~ <br /> <br />. " \ ~ State Cert. r Regist. # . <br />Signat~ -- _ City License Registration # <br />**************************************** <br /> <br />KEGHABTCAL \ ) C.- <br />Signature~' <br /> <br />/ <br /> <br /> <br />/ <br /> <br />APPLICATION APPROVED BY <br /> <br />PliRKIT Of'FICER. <br />