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<br />'3 j 11 <br />q /J, <br /> <br />PHONE ~/7'o::'.J2Si'- ~P#~ <br />OWNER'S ADDRESS 777 j:}~A'ht u&r!'e-r. a~AY$,e; ##. P'..:?C1.#/ <br />,,- <br /> <br />JOB ADDRESS fi1'~ G~~./ &rcl,. "z?-A)/~A/u.s/ n. ,J3~/ <br />BLOCK SUBDIVISION <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />(J'am6e;e/A;4/d ~~a.r ,fA:.-e. <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1.0.' //;Zc,:Z/CJ00C20/~dCJ ~ /S-c;O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration -Repair _Install <br /> <br />_Sign <br /> <br />-----Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FaIlily <br /> <br />_M/F _' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />j?~ /Ue? S'$o's/e.ev (/ ~~~A'd'Q . <br />, / <br /> <br />BUILDING SIZE: <br /> <br />x <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ~ cPtlcr. ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />-1IEGIIAIIlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />............................****.......*.. <br /> <br />CONTRACTOR SECTION <br /> <br />'>. .~.: <br /> <br />RIITI.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t. <br />.**....**..*.............................. <br /> <br />Signature <br /> <br />'.t., <br /> <br />F.I.RGTRIGIAN COMPANY J::'t/ e ,/; 43e];;" d. <br />~~ ~ State Cert. or Regist. , .eC-C90eJ1?--30 <br />SiDQAture . ~~.k! City License Registration' ..2 I. =i <br />.... ......*............................. <br /> <br />~ <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.........*................................ <br /> <br />Signature <br /> <br />KEGBANICAL <br /> <br />COMPANY (JLtJwli !/;/j,}/,fl)( /!/YtM/::JI. <br />~ ~ -r- State Cert. or kegist. . /'Oa-(k).47;.7c97 <br />#9'.eU City License Registration' ..l/ 9/ <br />...~..............................*....... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />...............................*_......... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />. j <br />