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<br />, - . " . <br /> <br /> <br />APPLICATION FOR PDlf.I8rt.1/ ,i1~2v'1.. ~ " <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT ' <br /> <br />/ <br /> <br /> <br />/'tv- ;'- ( t) Sk."~ (}.,d51'~d <br />J D S '13 rI /1/,dL (' 1v~1 ~ J1 y'J4VJ'" J$;vJ-~ <br />JOB ADDRESS b I 3 I f'J,..tJL ~Jv.., Or~ ~ 7~- O~~~ Z-yl.,l'lf/; / ~ <br />LIlGAL DESCRIPTION: LOT(S) /'- B~€:U8DIVISION .5,,;v.:.. M <br />PARCEL 1.D.' 01- zJ,- '2J -o/fo -OO~Ou -01 ~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />... <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />7 tflo-- J 7/0 <br /> <br />OWNER'S ADDRESS <br /> <br />t,I{'5'7 <br />13.r'jQ <br /> <br />WORK PROPOSED: >CNew Construction _Addition --...tUteration -J,epair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_ec-ercial <br /> <br />_KIF _' of Units _K/H <br />_Indust. ~SWia. Pool _Other <br /> <br />_Restaurant Ii: Health Departllent Approval <br />J' , .., i /: /)/ 1-,(1" .,,,,,"~ Uf./ ( f)_,J I ~i i:J...._. <br />DESCRIPTION OF WORK: l.- -y.. "if ..> ~.1..i'"'~ ~ vw/.... ~ I -- 7 "' re.. 1'-- fl~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKBRCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS./-:' ~./ ')()?- <br />PROPERTY SURVEY RBQ UlRBD FOR ALL NEW CONSTRUCT~ON~ C1~~/~11 <br /> <br />PBRHITS REOUBSTED & a <br />( <br /> <br />$ /~/)j):Y'- Valuation of Total Construction <br />/{,,j/ 5fiJJ.Kp.'1~ h>,,!A. ~~L} ~ PI-- i~~ ~''J'- . <br />r" Serv1ce Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />X Bf};)ING <br /> <br />f<:. BLBC'l'RlCAL <br /> <br />-"BCHAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />fJol <br /> <br />Other <br /> <br />TYPE OF CONSTRucnON: _Block <br /> <br />_Fraae _Steel <br /> <br />YES <br /> <br />X <br />NO <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />*********************************....**.*. <br /> <br />BUTT.DER <br />Signature .X <br /> <br />CONTRACTOR SECTION <br /> <br />~ aHlPARY )t~i- ~ CO ~ <br />State Cert. or egist.' foo(,S"''1/~ <br />City License Registration , l,r~q <br />*******.*.**********************.********* <br /> <br />:~.::~~ ~J-^- e~ COMPANY p- ~~ <br />State Cert. or Regist. , <br />City License Registration , <br />************.*.*.****..**..********.****** <br /> <br />41C; <br /> <br />PLUMBER <br />Signature~ <br /> <br /> <br />aHlPARY (}rfA<.(;?",..NY ~"'.-I J <br /> <br />State Cert. o. Regist. , - . <br />City License Registration , /.~- Y lj <br />****.************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR ~~/-:.~~ COMPANY ~~ ~~~ .DJ..r y--... <br />~. State Cert. or Regist. . <br />Signatur. /// City License Registration t I -, <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PBRHIT OFFICER. <br />