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<br />4........ ~......V......... .....V..., A.' VJ.\. .t'.c..t\n.ll <br /> <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-f-z) <br />.~-:r I~. u <br />II "7''17 <br />PHONE. 'l ~.~ - 9 () Ocr . ~{,! <br />?- h~U$ ~~6S40 <br /> <br />'A~I) <br /> <br />OWNER'S NAMlLOSc.A1L a ke010A- ~ 0 LO::..t I <br />OWNER'S ADDRESS 1~C5 - ~A.NDa ~J2... UfZ- <br />JOB ADDRESS Sl'rtn~ <br /> <br />:<~~(1 <br />1 <br /> <br />.}~ <br /> <br />'!i-J <br /> <br />LEGAL DESCRIPTION: LOT(S) 4(0 BI.OCI<: SOBDIVISION '~P< - lJ't II AGlZ <br />"':'1" <br />PARCEL I. D. t '5 s -;;J. '0 ~ l' 00'06 - Co 6000 - 0 4& b (OBTAIN FROM FROPERTY TAX SQ'ijlJill <br />";~'t:; <br />WORK PROPOSED:____New Construction ~ition ----Alteration ~epair ____Install <br />;.J <br /> <br />"'<-'~'I~ <br /> <br />____Sign <br /> <br />-Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~ingle Family <br /> <br />_KIF <br /> <br />----' of Units ____M/H <br /> <br />,';' <br /> <br />____Comlercial <br /> <br />_Indus t. ____Swill. Pool <br /> <br />_Other <br /> <br />:~: <br />,;~. . <br /> <br />~estaurant & Health Department Approval <br />DESCRIPTION OF WORK: ~ +\:nO I ~6 rJ <br />BUILDING SIZE: \ -Z X 20 , ~4 0 Square Feet, 2> Height <br /> <br />,i"ll' <br />.t <br />,jiil <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />:~.~. <br />.~. <br />~. <br />IJf <br /> <br />~ ;.t~} <br />ATTACH (2) PLOT PLANs & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS~:~.l <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS'A~~ <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. "ci~ <br /> <br />PERMITS REOUESTEQ <br /> <br />:~L <br />,: -.~~ <br /> <br />____BUILDING <br /> <br />$ <br /> <br />\6,000 <br />I <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />_MECHANICAL <br /> <br />AMP Service Florida Power Corp. . W.R.E.C~d <br />- ,....,.',~ <br />J.~ <br />Valuation of Mechanical Installation.~i:l <br />. ;it <br />GAS ROOFING SPECIALTY~)~~, <br />'-'f":, ' <br /> <br />~ ,'t <br />. . <br /> <br />$ <br /> <br />-PLUMBING <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />____Fr8lle <br /> <br />____Steel <br /> <br />Other <br /> <br />\~';~" <br />"I: <br />*, ; <br />;",." , ,,~ <br />u;. a'> <br />'~[ <br />:1. II.?; '. <br />..."i\' <br />';\~~: <br />- CONTRACTOR SECTIOti __'iI1 <br /> <br />BUILDER I') , COHPAIIY f<u M "'" C 6 "'S~~....t. 6 "-'U <br />. r:::::: State Cert. lor Regiat. . CR- C -035'3 "1- J W'. <br />Sigoat~ ~ " City License Registration t .;l 'J'( ", <br />****************************************** <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES <br /> <br />NO <br /> <br />ELECTRICIAN _ <br />-r< ,,(,"-~ <br />SiJUlature ~U-"-"~ <br /> <br />COMPANY'lrl ~'\..c\ 0 ~ \e (: -+12 ~ Q. <br />,.-~ State Cert. or Regist. # ~e .-001544'1 <br />..~c.:~" City License Registration' !l ~ <br />****************************************** <br /> <br />\, <br /> <br />'...'.'':'. <br /> <br />.;j <br />,'l,;' <br /> <br />PLUMB~ <br /> <br />Signature <br /> <br />~/A <br />( <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />. ~p..' <br />:',~}L: <br /> <br /> <br />\ " <br />I$ClIAJilC61. COHPAIIY ~.. rf -e 's A.~ ,,~ < <:", '- "fi <br />~ ~ /./ ./' State Cert. or Regist. # C" D 3"1 '1'" <br />Signature -- ==f-!- -... -/ ?1 ~_ City License Registration, <br />****************************************** . <br /> <br />O~ i ..~._- COIlPAllY9,.., m A-,J CD N G-1-e lAc\.- (} .:l J <br />. ~ ---- State Cert. for Regist. # <br />Signat~ '. City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY' <br /> <br />PERMIT OFFICER. <br />