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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />?RF 31 cro <br />(, - :2~-77 <br /> <br />OWNER'S NAME CK,) 55; E l-L rV\. <B Row 1......( <br />OWNER'S ADDRESS S;( 35 Jq bl G:: E L iLl co () QT <br />JOB ADDRESS 4 I /2 5 I L v ell (~ , R ((l~. 7"':' H I JI..S: <br />) <br />SUBDIVISION C \-114 L Fot---n- <br /> <br />PHONE '7'6 () "-62. (i- <br />z'HILLS f1 ~'S3~'ll-( <br /> <br />==. ,- ( <br />I L.33~ +.\ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />V\Lc.H <.;. <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____M/F ____' of Units ____M/H <br /> <br />____C~ercial <br /> <br />____Indus t . ____Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: f< J-: (r' 5 'T K P. r= D )y\ 0 DEL <br />I, I <br />BUILDING SIZE: 9.q x~2,'b2 /:1 0b Square Feet. '3 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />~LECTRICAL <br />J MECBAHlCAL <br />~PLUK8ING <br /> <br />$ <br /> <br />100 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />,/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ...lL.Block ____Fra.e ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? \// <br />YES NO <br /> <br />..........**............................** <br /> <br />BUILDER <br /> <br />Y?C'lt-etl <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY C/~U SC.(-:;'LL ~ ' ~ ROl,Ui,\ <br />{V\ C':> State Cert. or Regist. II - (1.' CD '.2, I ( \ \ <br />~, .)"':>\-("\. L-'-A. City License Registration' ?-Cf' '3, <br />*******.****.***************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />C) <br />SiRnature i\., t IV) Q tl <br /> <br />COMPANY q U SS C;; LL lV\ <br />'~ State Cert. or Regist. # JC n <br />f\ J \ l",:>\-()L\.."--"-. City License Registration * <br />*.**.*********.***********.**.************ <br /> <br />h QCIU.."t <br />n()'O"'i~ I <br />\ t?, <br /> <br />PLUMBER <br /> <br />~ <br /> <br />COMPANY C;<UC;SGLL }Y\, (h H. Ul.v".t <br />IV\ (:J State Cert. or Regist.' CI='(::'.C-" :"'1'1'-//. <br />, I I. .IJ}DLL/VL City License Registration' I n'7 <br />.********.******..*.*.*.***********.*****. <br /> <br />Signature <br /> <br />Signature <br /> <br />QuYldL <br /> <br />(':-j <br />COMPANY /-<.. u c,c; ('::L l IV\ M n. (\ l \) 1,-1 <br />V'\ n State Cert. or Regist. * c tieL; ,+ I Z.c; (t- <br />) r I . -,1-::> ~"^- City License Registration' I' <br />..*********~******..********************** <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration D <br />**.*******.***********************.*****.* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />