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<br />/ ~./ i 1 <br />}O <br /> <br />OWNER'S NAKE~ !OOIJ<fr 7<J;f'F'/7. ~ PHONEJ(g13) '7!3;l..S-LJos- <br />OWNER'S ADDRESS,( 7?o.;Bo$/ 57'8 ZEP/lYR)./ILl.S IN.. 33s3Q- os '78 <br />JOB ADDRESS)( AI~r {tF.~ ~ leA L/ L E- ~ ~ .p- L9 .1 J ; 6 -r ~ 11 u ~ 'z (h _ / (5'" <br />LEGAL DESCRIPTION: LOT(S) q~ 10,11, 12.. BLOCK .2 SUBDIVISION C'rrtJ et)F ZGP/{tJJeJ-I ILLS <br />, , <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PARCEL 1.D.# X //-2t.-2'.~OI()-00200-0t:>Clo (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration --..Repair _Install <br /> <br />_Sign <br /> <br />-",ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Si~leF~ily <br />~ercial <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/B <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />" <br /> <br />{.f <br /> <br />_Restaurant Ii Bealth Departaent Approval <br /> <br />DESCRIPTION OF WORK: r 1'-/ _\ .,c ~ / fife IC- <t l ~ ~ C? JI.( t/ f~ E- W & /C /C 6 6 ~/, Ie d t!I ~~, I- 0 <br />, '- -t-- let. y:- /7< c I~ If? ? Ll :.e-tJ. <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />/P6/~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-1fECHAIlICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ' ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr~e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT JlER <br /> <br />Signature ~ <br />/' <br /> <br />A /L/ J., S' ~-0 /';/ 4 {] I tv -r /, <br />~'7";.l / <br />d ~,. <br /> <br />RI.RCTRTCIAH <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />SiRnAture <br /> <br />PLUMBER <br /> <br />COKPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MEGBAHICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />