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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER I S NAHE_/Jj~~ <br />OWNER I S ADDRESS 38'7116 <br />JOB ADDRESS ? y".?06 <br /> <br />/1. t..J 1,/0 <br />I) Cuf)J.f I IU <br />o tr1~ I-~~. R;/ <br />/' <br /> <br />PHONE 9t J - );>9- OLY.1 <br />2e/h..,-f,;/1J F/ S]~-<YO <br />, / <br />2e~J..<-"h..I(J FI Sf JYe) <br />, r <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL l.D.' ~ S- - 2S - '<....( -(j w~ 0 - \ 4,UQ_C~J (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install <br /> ____Sign _Move _Demolish <br />PROPOSED USE: ~ngle Family _M/F _* of Units _M/H <br /> _Commercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK:.-W ~t.lAf' ~./l...t JJl o-iQ <br />BUILlHNG SIZE: ~x 3S:- Square Feet, '3 g',S- Height <br /> <br />d~a" - .-r <br /> <br />RESlVENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET l:NERGY FORMS. <br />COMMERCIAL: ATTA<"ll (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br />~ELECTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />__W.R.E.C. <br /> <br />_MECBAlfiCAL <br />-0LUMB~NG <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />~ vi! COMPANY \A~ A. w ~",Lt-> _ <br />/) ( State Cert. or Regist.' ~U l6-LD <br />-~ U ~ City License Registration # \ '7"1:~ <br />****************************************** <br /> <br />ELECTRICIAN COMPANY 1J.c.fl- I::'t. e c:;- . ./' <br />I jJ /I /J/J State Cert. or Regist. # F<S 00000 (,.?( V <br />Si2.nature rjz"uJe. li...iUc;tA./'V City License Registration # cO 'J <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />./ <br /> <br />PLUMBER ~ t COMPANY lA.\~. tJ S"\ U '> / <br />/ / State Cert. or Regist. #I (l,u \,.i:>'iO V <br />Signature t......../ ~_ City License Registration # \4'ib <br />****************************************** <br /> <br />H.ECHANI~ COMPANY e... ts-L-ecl, <br />State Cert. or Regist. # <br />Signature 1 Y 1cense Registration t <br />***********~****************************** <br /> <br /> <br /> <br />~ COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />