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<br />APPLICATIOH FOR PERrIIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHEHT <br /> <br />q / (l /, <br /> <br />l'. <br /> <br />OWNER'S NAME <br /> <br />I/-Il/N~-tl6 <br />6"1"31 - qt1J <br /> <br />s. CobeAi{t: ~ _Gi(3) 1fg-5'16~ <br />S+ . ~ e. Ph yJ3-hl t {s F 1-- .3 !JS-i{ cJ <br />, <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />S,:j M (!.; <br /> <br />LEGAL DESGRIPTIOH: LOT(S) 5' + '" BLOCK Ir~ SUBDIVISIOH <br />PARCEL 1. D.' II J. b dll 00 to ''i j 0 0 00<5' d (OBTAIH FROM PROPERTY TAX HOTICE) <br />WORK PROPOSED:_Hew Construction LAddition ----^iteration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: 1-Single Faaily <br /> <br />_KIF <br /> <br />_' of Units ---.J{/D <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~ A/ ~ J.t:>S ~ <br /> <br />(!,,q.~ Po J8, ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Deight <br /> <br />RESIDEHTL\L: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW COHSTRUCTIOH. <br /> <br />PERKITS REOUESTED <br /> <br />bUlLDIHG <br />-LELECTRICAL <br />--1IEGIIAIO.CAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of ttecbanical Installation <br /> <br />_PLUKBIHG <br /> <br />GAS <br />~lock <br /> <br />ROOFIHG <br /> <br />SPECIALTY <br /> <br />TYPE OF COHSTRUGTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />F'f . <br /> <br />IS PROJEC'f IH FLOOD ZOHE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />COHTRAC'fOR SECTIOH <br /> <br />BUTIJ)ER <br /> <br />(] aHlPARY <br />/' . State Cert. or Regist. . <br />LZ~./ J / V JeA.:I City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />::::::r'~ ~ aHlPARY <br />rl. / ...,,---;- . . State Cert. or Regist. . <br />ur v ~ ~. ~ City License Registration' <br />/ .......................................... <br /> <br />PLUttBER <br /> <br />GOKPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />Signature <br /> <br />HEaIARI~ Ur aHlPARY <br />n .' State Cert. or Regist. t <br />Signature ~ ~ < City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />...............****.....*.......**...*..** <br /> <br />APPLICATION APPROVED BY PERM.IT OFFICER. <br />