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<br />'1 <br />V""v <br />UV' ,; '1 <br />~ I yt/ I <br />/~ ) 0 ~ lr .,:... I FJdLJ< _ <br />'7 .r !<; ~ .> S I L 17 T ~ - <br />PHONE 8,'3 -788- ~o~, <br />OWNER'S ADDRESS 3 ~ a..r , H-"'V~-n9-e1(' RdlZC~lI'1.eHl,~'-S I Fa,. J3~q3 <br />JOB ADDRESS <.S 5t? t) 9 ft- \ ~ > "-PIA. 12-1< 7<' d , <br />LEGAL DESCRIPTION: LOT(S) 3/ 'BDb" ~y f h- BLOCK SUBDIVISION.2"FPH.,.,12 1+ It. t.~ A-, R. ~~ U"'1f( <br />PARCEL I.D.' J; - ~ c. -~ ,- 0 d '" - () 0 GOo - 00 :t 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:--'x"New Construction _Addition _Alteration _Repair _Install <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE Jo~t.)~ €L~ONO~ COOLO <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br />-1Leo..ercial <br /> <br />--1t/F _' of Units _M/H <br />-LIndust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />, <br />DESCRIPTION OF WORK: c"tJ~.,.Qu. C'-I 0 IJ 0 F ~p G.-. ~ "P"~ J<: ~c,... r:= lJell.", ITI6S <br />BUILDING SIZE: 1:1' X xl/I .~Square Feet. If,/ (, II Height <br /> <br />RESIDENTIAL: <br />,(COMMERCIAL : <br />, <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 />--X.BUILDING <br />-X-ELECTRIGAL <br />--.JIECIIAlUGAL <br />~PLUKBING <br /> <br />$ i./ OJ P& 0 Valuation of Total Construction <br />,1Il>O AtIP Serv'ice LFlorida Power Corp. <br /> <br />---,W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae LSteel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: fr2., f FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? X-.- <br />YES NO <br /> <br />............................************** <br /> <br />CONTRACTOR SECTION YJ1 ~~~ {~ <br /> <br />BUILDER COKPANY V'" <br />if r"\ C\L State Cert. or Regist. . <br />Signature I' U L.LJuDtf{JiT City License Registration . <br />*********.*********************.********** <br /> <br />COMPANY r; fZ-S-C C IA-~" E /f24~c: / <br />State Cert. or Regist. .. (/ r,z< 7 V <br />City License Registration' _~__ <br />*. *************.*******..*.************** <br /> <br /> <br /> <br />PLUKBER <br /> <br />COMPANY~)EtJ!J,'~ L. ft..).'.JJf.'~ <br />C\ j State Cert. or Regist. . F D <br />l..J ~ - \.U~ City License Registration' /t?Lv <br />****.*..*********.**.*************.*****.* <br /> <br />/ <br /> <br />Signature <br /> <br />IlEGIIAlUGAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.*******..****.****.*******...****.******* <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY R R Tie... ~5 ;:=:00 'i ~ ('..s <br />~' --/ ? / .- State Cert. or Regist. # .L C. ~ / 0 9 <br />~L-~ City License Registration # <br />. **.************************.************** <br /> <br />OTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />