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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />a~ 7~r.-) <br />1/ q r <br /> <br />7'0,2. - 2 5'?~ <br /> <br />OWNER' S ADDRESS <br /> <br />\J ER.. ~ <br /> <br />~q~SC> <br />5~1Vt~ <br /> <br />Qtf€:N K OJ <br />,(V1.A~ e... 11 R I Ut <br /> <br />PHONE <br /> <br />OWNER' S NAKE <br /> <br />J 2..g f~Jill ((' <br /> <br />.-- <br />r \ ' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' I;; -:J.L- ,;)/~ LI~~T7J - (}e LJCJ 0 - & / ~ &:/ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED :_New Construction VAddition _Alteration _Repair _Install <br /> <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: V<ingle Faaily _KIF _' of Units _K/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: 10 fl-JJ 7~ ,('fO LEUJ(Prrrf/ Or 4c)()S~It/JO C <Hjort< eAR PO~IIO J..JtJl1J6 S~~ <br /> <br />BUILDING SIZE: l.. c/ X /tf,~f'." 's q l' Square Feet. 45 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 />V BUILDING <br />LELECTRICAL <br /> <br />,$JIl1600 <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction~ <br /> <br />AMP Service <br /> <br />V Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"EGllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other <br /> <br />PIIIISIIED FLOOR EU<VATIONS: FT. IS PBOJECT IN FLOOD ZONE AIIIlA. r~ <br /> <br />.......................................... ~J-:L ~ 1 aJ,z 1.; <br /> <br />CONTRACTOR SECTION ~ -1 1 Q <br /> <br />BUILDER COMPANY Of- C Co/()T~ftG/cR-s JIVe, <br />/7f (} f2 State Cert. or Regist. . C R.C o~~ 2D7 <br />Signature 0~ 'Ovttt:M-- City License Registration' 7- ~ l ~ <br />****************************************** ~ ~ <br /> <br />=;O'~ COMPANY'; / C( <br />~ State Cert. or EeEist. , <br />/\A /VI ~-/IJ City License Registration' <br />- * .*********************************** <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL If/ rr-:--rn ~ . U) d <br />Signature ~ I~JuI ~t.R~c.-- <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br />BY~\b <br /> <br />'PERMIT OFFICER. <br />