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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1_;1o-'1~ <br /> <br />OWNER'S NAHP.AJ/'///~A1 WI 4-.,.)- cI~SbJ PHONE 73'"3~ 99t179 <br />OWNER'S ADDRESS 589(J-o ~/2-71d ~/;j Zc--ro~r-h//I~J pc.... 33:r~O <br />JOB ADDRESS ..:5 ~& <br /> <br />LEGAL DESCRIPl'ION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D.' / j- :;;.. 6 -;;2.; - 0 c) / f) - 0 '7 V CJ 0 - 0 0/ 2J (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction -LLAddition ---..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />~I of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval I 0 ~ I( ~ <br /> <br />DESCRIPTION OF WORK: A-dd /' C;?f1", ~, ~ Eir/~r-f-UZe ..5/;4-.;v0/""'7 ?-~ ~ <br /> <br />BUILDING SIZE: c!:1 ~ X .Qo , Square Feet, 15/ Height /'~<;. ie.i- <br />OJ6 x. II ,/ <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br /><3-i <br />$ ~, () eft! 1_ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECIIAlO.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: ---C-Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />,X' <br />YES NO <br /> <br />****************************************** <br /> <br />/' BUn.DER <br />Signature tu~ U~ <br /> <br />'CONTRACTOR SECTION <br /> <br />COMPANY .:5e &? <br />/7 /. State Cert. or Regist. . <br />~L~~ City License Registration . <br />***************~************************* <br /> <br />hT.RCTRICIAN /7 COMPANY cf e-LP"" <br />/} ~t State Cert. or Regist. t <br />SiQIIAture It/pk"-"-. /-UJ t--~~icense Registration I <br />***************.*.**** **********....*...* <br /> <br />Signature, <br /> <br /> <br />COMPANY ;?' e It:. F- <br />State Cert. or Regist. t <br />ity License Registration t <br />**************.*** *..**********..*.**.** <br /> <br />~PLUMBER <br /> <br />Signature <br /> <br />COMPANY ft h^L <br />State Cert. or Regist. . <br />City License Registration . <br />**************.**.*******.***..******.**** <br /> <br />KECllARICAL <br /> <br />OTRRR <br /> <br />COMPANY ;/ c-t-r <br /> <br />a ~ I. "tl1~ State Cert. or Regist. , <br />V.k ~(/ L ~ity License Registration' <br />*.***********.......**..**..*..*.**..*.*.. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />