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<br />01iIlER' 5 NAIIB .~ lie -f A I:' e "'y <br />OWNER'S ADDRESS 3"763 ;J.. AJewk'- <br />I-fJ+ ;IF 8Lf "2 ~ A <br /> <br />6?uWtllo->~91 <br />/' GLh~~~ <br />C~~~~_~~2~ <br /> <br />---,.."'.,....~.>>."'_..'k.. .". <br /> <br />-''-,,", <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br /> <br />~/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION ~ <br /> <br /> <br />PARCEL LD.' 63- ~- a/- tJ3iO- 00000- cP8LfO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br />~l. <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />Faaily <br /> <br />---14/ F <br /> <br />_' of Units <br /> <br />_M/H <br />/ <br />V Oth>>r <br />IY7ttllvf/1C fllr~ j HOrJ? € <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: Lsi A (( iV1f1fluf"cf vreJ kojll1.€ <br /> <br />BUILDING SIZE: ~'r X C,O , Jq t71 Square Feet, 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 />/ ELECTRICAL <br />~CBAlUCAL <br />~UNB~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />I( 65D <br />/S~ AMP Service <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />/ ;)- jO <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />-~ROOFING <br /> <br />~ SPECIALTY <br />/flllllvi~cill/ej IfPAJ6t:her <br /> <br />~ <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />_Fraae _Steel <br /> <br />FINISHED FLOOR ELEVATIONS :~FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES <br /> <br />NO <br /> <br />BIITloOD <br /> <br /> <br />!;O~::;~i-h~e ( ) <br /> <br />State Cert. or Regist. . <br />City License Registration' ~~ <br />******************************** <br /> <br />// <br /> <br />t/ <br /> <br />F.1.RCTRICIAR <br />. II/N flee ~r )(),t ~ <br /> <br /> <br />/J <br />COMPANY <br />State Cert. or Regist. . <br />License Registration . <br />****************************** <br /> <br />~/,jCtl <br /> <br />p~~~ <br />Signature . City License Registration , <br />I' . ****************************************** <br /> <br />IQ!(2WllCAL ~ COIIPAHY f1 hI' A <br /> <br />~ B' State Cert. or Regis . , <br />Signature evil'! 4Ar- City License Registration' <br />~.-...~.............................. <br /> <br />COMPANY R \/IY\ 1tt1 <br />State Cert. of Regist. , <br /> <br />\ , <br />Iln ^- , <br /> <br />, '~ <br />.~~ )( <br /> <br />v <br /> <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />