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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />---r"- I fl <br />OIIlIER'S RAID! /;1/-. rJ T (y Q,.-<;S. PIRlN~ <br />OliIIER'S ADIlIl1lSS' fi~ 50 ~I-o,;:; e fh \{ ~\-\\ ~\S <br /> <br />JOB ADDRESS S7,<;Z) D~.kc-l 'zpJtA.JV2hJl S <br />LEGAL DESCRIPTION: LOT(S) ) 0 BLOCK ~(" SUBDIVISION 2../ <br />PARCEL I. D.' ) 6 - 2.10 - Z I - / - I 0 it <br /> <br />;tI",- <br />~6 ,~,~\--Y-O <br />I-JoA-- <br /> <br />:3 "3~y a <br /> <br />~J- <br /> <br />~/ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---Alteration <br /> <br />_Sign <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />_Repair ~Insta1l , <br />R epl.A.c.eJVl~vt <br /> <br />PROPOSED USE: -X-Single Faaily <br /> <br />-'lIF _' of Units _K/H <br /> <br />_~ercia1 <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: Ke..r I Q~<? mp ~ 1- <br /> <br />BUILDING SIZE: J;;( X l( 0, Square Feet, Height <br /> <br />RESIDERTIAL: A'lTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: A'lTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br />Ije.i-ELEc:rRICAL <br />~CIIAlIICAL <br />1j1S-PLUHBING <br />TYPE OF CONSTRUCTION: <br /> <br />$ -7/;Y) ,aa <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />rv/ft <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />AI.LJ.J ,Lk~ther <br /> <br />_Block <br /> <br />_Fraae _Steel <br /> <br />FIllISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br /> <br /> <br />iYle ./ <br /> <br /> <br />BIITT.DRR <br /> <br />Signature~7 <br /> <br />i <br />COMPANY S <br />State Cert. or Regi t. . <br />City License Registration . <br />***************************************** <br /> <br />PLUHBER <br /> <br />Signature J-, /" <br /> <br />~,CC <br /> <br />Stat ~ Cer . or Regist. 0 <br />City License Registration . <br /> <br />. ~':''''''''';;~~;~~7Y1~4~ <br /> <br />~~ City License Registration' { 9 ",..., <br />****************************************** <br /> <br />COMPANY , <br /> <br /> <br /> <br />, <br /> <br />.~V <br /> <br />/ <br /> <br />HECIIAlfICAL <br /> <br />fjJPr <br /> <br />, <br /> <br />COMPANY <br />State Cert. or Regist. <br />City License Registration . <br />****************************************** <br /> <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />J COMPMff <br />State Cert. or Regist. . <br />A.J A- ' City License Registration I <br />f ****************************************** <br /> <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />