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<br />APPLICATION FOR PERMIT <br />. E;{J CITY OF ZEPHYRHILLS <br />/ BUILDING DEPARTMENT <br /> <br />/ OWNER'S HAHK W', ll; Avv< em mo i2Ji'\.\ ; <br />/ OWNER'S ADDRESS 5 \ 3~ \...\-A.\s'bcc-J D~ <br />56~O-6 7/ -U- <br /> <br />II-.)G<). ( - cclt- 6(,sco-R).!V <br />..-'t? 'l L/ / f7j' <br />b6~f 10 '-d-1. <br />~ONE r7 ~ 2. 'i- 301 <br /> <br />&-~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) :J,7-"2 :> -z-tr BWCK GS SUBDIVISION ~ <br />I ~..I <br />PARCEL 1.D.# \ I - 'Z..<C -<;:l \ -(;C.J In - 6G rD. 62/0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction _Addition --..Alteration ---.Repair _Inst~l <br /> <br />_Sign <br /> <br />--1fove <br /> <br />_De.olish <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: lto <br /> <br />PROPOSED USE: _Single F8JIlily _KIF _, of Units <br /> <br />~eo..erCial _Indust. _Swill. Pool <br /> <br /> <br />---.Restaurant & Health Department Approval <br /> <br />- CLu-.~ ~c~ <br /> <br />X~c:: \ '60D Square Feet. lD r Height <br /> <br />---..Ji/H <br /> <br />_Other <br /> <br />,. <br />.~ <br /> <br />RESIDENTIAL: ATTACH (2) PWT 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 />PERMITS REOUESTED <br />$ 4-~J 56 e) Valuation of Total Construction <br />1-00 AMP Service V Florida Power Corp. <br /> <br />ll.t" <br /> <br />_ELECTRICAL <br /> <br />~W.R.E.C. <br /> <br />_MECHABlCAL <br /> <br />$1UfA- . <br />I <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _Block _Fr8lle ASteel Other <br />FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />;'j'l <br /> <br />\~ <br /> <br />;'~ <br /> <br />YES NO ~ <br />rJ ;;2- ~'" <br />o')!'Vl> .,!.j <br />CONTRACTOR SECTION '1 ~.:!} <br /> <br />BUILD~ COMPANY Q~~ ~~~ ~';./' <br />~~ State Cert. r Regist. '~f-03SI~4-~" <br />Signatur - " City License Registration f ~~ - <br />, ****************************************** <br /> <br />****************************************** <br /> <br />=~- /~ COHPAIIY'-~~ ~(~ <br />. State Cert. or Regist. # L-(Z.'-66I .' 4- <br />-~ ",--"-;;;J, : . / City License Registration t ..It ~~ q 7 <br />****************************************** <br /> <br />\. <br /> <br />~ <br /> <br />COMPANY \) L~ "-.) \,~ \.-0-, \ \i Il--w-> ') <br />jJ~~ . State Cert. or Regist.' <LF.OS2.k..:;J <br />City License Registration' Jq <br />******* ********************************* . <br /> <br />". <br />.Ii. <br />l'.l <br /> <br />..--......., <br />PLOOER (' .,) <br />S ignatur';;----Utf/>1A.A <br /> <br />)/ <br /> <br />MECHANICAL IJ I A - <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration * <br />****************************************** <br /> <br />\\< <br /> <br />:0 <br />;'-'.. <br /> <br />Signature <br /> <br />~.! '~ <br />:'~ <br />. 'J' <br /> <br />, <br /> <br />OTHER r~ COMPANY ~c.-.- ~ --cJt;~ ~ <:J <br />........ ~ State Cert. or Regist. , I2-C -oOCo (<0 4'b,f....,-/. <br />Signa~' I City License Registration' ~ :L ? h'- ).H <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />