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<br />OWNER'S NAME <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />C Je {II '" j Jk Fe,' 2 12. - <; <br />13C7 'f..- / q ~ 7 <br />LI4~ d~.s ~e.- <br />LEGAL DESCRIPTION: LOT(S) ? '?/ <br /> <br />2r ;Z3 <br /> <br />BLOCK <br /> <br />PHONE -;/5{)... - / ?' ~ C <br />2e-~ilf!yh<#II<; PI- <br /> <br />SUBDIVISION C- I€ 14- j <br /> <br />It!L..r-2 C7~ S <br /> <br />OWNER'S ADDRESS <br /> <br />/0 <br />3 7& Lf3 <br /> <br />JOB ADDRESS <br /> <br />PARCEL LD.' 3//- ;2.. <) - 'J.-I- C5CJIO -0 / 3 6C:J - rf? (OBTAIN FROM PROPERTY TAX NOTICE) <br />. <br /> <br />WORK PROPOSED:~New Construction _Addition ~lteration _Repair _Install <br /> _Sign ---'love _Deaolish <br />PROPOSED USE: _Single F8Ilily _M/F _' of Units -LM/H <br /> _ec-ercial _lndust. _Swilll. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: Se t- Uv? of ~J /I <br />BUILDING SIZE: 2- S" X )"{, / e) &, f Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />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 />L-ELECTRICAL <br />~CBAlUCAL <br />-i.PLUMB~NG <br /> <br />$ <br />?C9c7 <br /> <br />$ <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />'f..- Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />~ <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />Il1II-lIER OOIIPANY .17~~, /13 <br />7fL2~'JiI State Cert. or gist.' <br />Si ~~c~ d <br />gnature -L. City License Registration t Y IJ <br />. ........................................ <br /> <br />F.T.R.CTRICIAN r) COMPANY fie e A f>...p}-{ OJ j:..... <, <br />___ L. I) /J It State Cert. or Regist. . " c,J .:? 0 0<"'>0 (0 ( <br />Sbnature L/~t{ l.:JJ2t:Y C?t-c.n- City License Registration' (p 3 I 1('7 <br />..........*.****************..************ <br /> <br />v'/ <br /> <br />~. <br /> <br />Signature <br /> <br />COMPANY .#Z. /~ ~;. $" .s <br />~ State Cett. or - egist., . <br />LJ~ /2. City License Registration' y~ <br />.........*.......................~....... <br /> <br />COMPANY j).. c <- ~,~p. f-- ~ 7 ::t "'- ~ " <br />State Cert. or Regist. # C /J-Co 3~ 'j :;),t< <br />City License Registration' II~' ~~ <br />............~............................. <br /> <br />/. <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Signature Chucij 13 ~. (~L- <br /> <br />~ <br /> <br />OTRR.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />