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<br />~~-r' <br /> <br /> <br />OWNER' S ~0' I~ Q'( fV\-A-A...J <br /> <br /> <br />OWNER' S ADDRESS S ~ 3d s S . (2 . c::A- <br /> <br />JOB ADDRESS ~1-'-to ~ C.~.51../V\ L0 ~ <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) 40 BLOCK SUBDIVISION L~) ~(-Qc~ LJ 00 0 <br /> <br />PARCEL I. D. t \ l) _. Z ~ - ';}. \ . D \ 'd- 0 - 0000 0 -0 4<.0 U (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />WORK PROPOSED:~ Construction _Addition --..Alteration ~epair _Install <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br />---n U <br />.r: .s v ~ . <br />rpr 2-77 <br />9-...:::> <br />PHONE 'i-t:; '2. - 08 Z S- <br />W~-t -. Zc.p~ '( ,2-1. ;(J ~ <br /> <br /> _Sign ~ -"ove _Deaolish <br /> l4FaailY <br />PROPOSED USE: _M/F -' of Units _M/H <br /> _eo...ercial _lndust. _Swia. Pool _Other <br /> <br />~estaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: ~.LU~~~ <br />BUILDING SIZE: 'Sc.o X 548," I CoLf3 Square Feet, 6 <br /> <br />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 />~LDING <br /> <br />PERMITS REQUESTED <br /> <br />$ CoO,bOO Valuation of Total Construction <br />/ <br />"'.00 AKP Serv1'ce <br />d Florida Power Corp. <br /> <br />$ €';) S 0 () Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELEC'fRICAL <br /> <br />_MECllAlUCAL <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br />_Fraae V Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br />FIRISHED FLOOR ELEVATIONS 8 ~ FT. <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER Q . COMPANY ~~ G}~ ~~--y\.\ e:J0.A <br />. \ State Cert. r Regist. , . L~)Q.~O~~i~.4- <br />Signature~' ~- City Liceose Registration' ~"'l4- <br />, ****************************************** <br /> <br />::~ f12 COIIPARY '-iY\~~ CQ.~ <br />~ '. State Gert. or Regist. . L..e.. =13';'-1-'" <br />-..,. e' \ ~ I City License Registration' ~"l-I <br />. , .. ........~................................ <br /> <br />PLUMBER COMPANY~ Lu~":"'~ <br />~ ~ . #//). State Cert. or Regist. , eF~ OS~(.;:. 0 <br />Signature ,/~~ )_ City License Registration' /9~D <br />************.***************************** <br /> <br />COMPANY 5~~ ? a.-DpCU\l\..L'+- .:zJ CL <br />State Cert. or Regist. , €>A-B' q3q 4-B <br />City License Registration , <br />*********** ***************************** <br /> <br />mDK~ COHPARY~~ CW~ <br />. . State Cert or Regist.' ~(~oo(..(Co4e,;. <br />Si~t - ~ City License Registration * Se,;. <br />****************************************** <br /> <br />MECHANICAL (- <br />Signature ~'~"''-J <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />