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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />o~. :P8,1~?1 ~ <br />VC ~--,. <br />~....- <br /> <br />OWNER'S NAME <br /> <br />/1' <br />lL1CE <br /> <br />OWNER'S ADDRESS <br /> <br />5,). 5rJ <br />.5'/fr-t r:.... <br /> <br />8 ZA(I./LT-r <br />/9K ~T <br /> <br />PHONE <br /> <br />;78)- <br /> <br />b;)</O <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOClL--,SUBDIVISION <br />') 6660 <br />PARCEL I.D.# II d2 6 0'-( aolo 17b6D (OBTAIN FROM PROPERTY TAX N,9TICE) <br /> <br />WORK PROPOSED:_New Construction --..-Addition --..-Alteration ____epair .JL'Install <br /> <br />_Sign <br /> <br />---..JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_K/F _' of Units _K/B <br /> <br />_eo.aercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant &: Bealth Departaent Approval <br /> <br />1/ Af-Hti' <br /> <br />'fi; I AJ 571t't<- <br /> <br />/oyrct <br /> <br />D~h' <br /> <br />BUILDING SIZE: ,e X /4, 1<./-0 <br /> <br />Square Feet, <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 />_BUILDING <br /> <br />$ <br /> <br />/6Cf(OV <br /> <br />. <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CllAllICA.L <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FtOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FtOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RIITT .DER. <br /> <br />~/OJ <br />~.~t( <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY S tJV 5~ <br />/" _ State Cert. or Regist. # <br />~~.c> City License Registration # <br />****************************************** <br /> <br />If L..{) l( / /J (j '7 <br /> <br />Signature <br /> <br />7/J <br /> <br />F.T.RCTRICIAB COMPANY <br />State Cert. or Regist. # <br />SignAture City License Registration , <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />