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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />1/71 <br /> <br />19./ <br />J <br /> <br />OWNER'S NAKE L.c:u\ G.ri1 ~ <br />OWNER'S ADDRESS 3<\S5L(o R e:rraiCA. <br />JOB ADDRESS ~'fY'\ "2..._ <br /> <br />PHONE <br /> <br />LEGAL DESGRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION ~\~P\6 \~~OW <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL I. D.' <br /> <br />WORK PROPOSED: ............ew Construction _Addition ----..Alteration _Repair _Install <br /> _Sign -.JIove _Deaolish <br />PROPOSED USE: _Single Faaily -.JI/F _' of Units ~/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: \~~-\OJJ- ~'\d- -\e)n IO\<:w ~~L0'il~ W\{e.ft(c <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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />/' ELECl'RIGAL <br /> <br />/MEGllANIGAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />$ <br /> <br />AKP Service <br />/OcCJ / . 0~/ <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTlJlRR <br /> <br />GOKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />, <br /> <br />RT.RGTRICIAN COMPANY_Ace... {tr ( ()rrQ~:c _ <br />SJ",,~~(jC'LlJnrJ.0Oh ~~;\~~o~:::~::~i:" ': ,^~7 / V <br /> <br />~************************************** <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL f COMPANY;YCe 4'1 {n~ J 67~~c- <br />~cfjdL c;P.. :lJ. State Cert. or Regist.' Y"q S9/:? <br />Signature / r= I?Yz.. City License Registration' 4/6"- <br />****************************************** <br /> <br />~ <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />