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<br />..-c <br />c <br />~ ~~ ~/1 t:t <br />~ ) 1)/ <br /> <br />OWNER' S HAHIl \1~c \.. \Y1o~ ~~ IN ~"""- PHONR Q '2> Z 0 Z3 .2. <S <br /> <br />OWNER'S ADDRESS ~b'3(* _)~ ~ ..Z~~~ <br />JOB ADDRESS ~.3 r J I.f~ ~iJ i-~"" ~_ <br />LEGAL DESCRIPTION: LOT(S) 'a.~ BLOCK SUBDIVlSIONO~\(('All~ <br />C:>~70 <br />PARCEL I.D.' 0'- ~ Z~ ~:l\-bo\O -00360 .~~ q <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-kNew Construction _Addition --Alteration ~epair _Install <br /> _Sign -.Jfove _D9Iolish <br />PROPOSED USE: .x=Single Faaily --.Jt/F _' of Units --.Jt/H <br /> _ec:-ercial _Indust. _Swill. Pool _Other <br /> <br />_Restaurant 1& Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: ~ ~~e..9 <br />( <br />BUILDING SIZE: 5<-( x3i. \~L"~ Square Feet.8 Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 1& (2) SETS Of BUILDING PLANS 1& (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 />PERKlTS REO~TED <br />\ <br /> <br />$ 68, '600 <br /> <br />Valuation of Total Construction <br /> <br />X"iUILDING <br /> <br />_ELECTRICAL <br /> <br />~ 00 AKP Service <br /> <br />XFlorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CIWIlCAL <br /> <br />$ d 50 0 <br /> <br />Valuation of Mechanical Installation <br /> <br />_.PLUKBING GAS <br />TYPE OF CONSTRUCTION: ~lock <br />FINISHED FLOOR ELEVATIONS: ~'S FT. <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY ~c__ ~~\^. <br />~ State Cert. or Regist. . CP-~ -0361 ~4- <br />c.- City License Registration' ~q.Lt <br />****************************************** <br /> <br />r <br /> <br />BffiI.DER <br />Signatur~ '- <br /> <br />J" <br /> <br />~~ . . COHPANY~aAt"" 81>~ <br />, . State Cert. or Regist. , ~/Z--OO\~qLta.. <br />~Ator!: ~~- .~ <-- <<,,~ City License Registrstion' :l; '1-\ <br />***************************************** <br /> <br />\, <br /> <br />COKPANY ~ ~~ <br />L I /JIJ. ~. . State Cert. or Regist. 'h.~ So. QF OSZ(PO <br />V~ J City License Registration t .I <1 ~ 0 <br />********** ******************************* <br /> <br />~~k'... ~ COKPANY '2:>c;..kA'~e..C5?~e -..t- Af<L <br />~ State Cert. or Regist. . ~i3 -093 9C\-~ <br />Si e ~ ;; .. ~ . /' City License Registrstion' ~ I,? <br />***** *********************************** ' <br /> <br />~ roKP~~~ ~~'" <br /> <br />.. . . . State Cert. or Regist. , 'fl..<=- - 00 G (L:,C1-~'\ <br />SigIU!t ~ City License Registration # 60.) <br />.......................................... <br /> <br />PLIIIQIER ~ <br />Signature . <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />