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<br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I. D.' -< 'f - =t ~ - ~ I 00 c.. 0 - 00/ (1" - (J){ OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: /New Construction _Addition _Alteration _Repair _Install <br /> <br />f, ~ <br />~:~cy <br />tm.s _ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />l\ <br />, r1 <br />~--;/C) , <br />. i) <br />1,1 (f <br />::nlYl L- YAJf)A <br /> <br />/'"7 <br /> <br />APPLICATION FOR PERMIT l . )J.Hof~ ~ . <br />CITY OF ZEPHYRHILLS LV.,.u....~ b <br />BUILDING DEPARTMENT 1 tl 0 <br /> <br />C~ LLJ> <br /> <br />PHONE <B~4-J1?' -4550 <br /> <br />.3'~ <br /> <br />SUBDIVISION F~ML D <br /> <br />~..u- <br /> <br />.., <br /> <br /> _Sign _Move _Deaolish <br /> ~ . ~/F <br />PROPOSED USE: _Single Faaily _' of Units _M/B <br /> .~ <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />>~T <br />I <br /> <br />{)L.UfV\6' W\ ~z:. <br />./ <br /> <br />BUILDING SIZE: J <- X '10, <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />_MECBAIlICAL <br /> <br />Square Feet, <br /> <br />Height <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 />$ <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />/ <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />BUILDER <br /> <br />Signature <br /> <br />FT. <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />(~~ <br /> <br />COMPANY <br />~ State Cert. or R ist.' <br />LT:.-.J..f~ - City License Registration f <br />***** *********************************** <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECBMUCAL <br /> <br />Signature <br /> <br />omRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />ty License Registration . <br />************************************ <br /> <br />/10 <br />I <br />/n' I/:.- S' <br /> <br />COMPANY I-?~ LJ <br />~ State Cert. or Re --st. . <br />W~ City License Registration' <br />*** ************************************* <br /> <br />._ COMPANY <br />~ State Cert. or Regist. . <br />City License Registration . <br />~ **** ~~~****************************** <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />**** ****************************** <br />. .~;:: <br />/' ~ PERMIT OFFICER. <br /> <br />APPLICATION APPROVED B <br /> <br />