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<br />{)eh:"" <br /> <br />IS 77)"-r-- APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUlLDIHG DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />~,4.IUj( (' ~~/JI~J. <br /> <br />,?'1rl3.e s7/C O..a/~HONE <br /> <br />--- <br /> <br />OWRER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />~ < <br />IY1 P3~ s IJ-e J <br /> <br />() 64 )!.., .5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL LD.' ?-..y,t-'2. '" - 2../ .... (> 0-" " 0 0 1(/ C (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />WORK PROPOSED: ~w Construction _Addition. _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--"ove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~ <br /> <br />_, of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />A-/l-/~ <br />. <br /> <br />X 3'1. <;7 (:, <br /> <br />~u/-/ <br /> <br />BUILDING SIZE: Ii <br /> <br />Square Feet.~ Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <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 />_BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ ~ , y-<.rV Valuation of Total Construction <br /> <br /> <br />I~ AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CORSTRUCTIOR: _B1oclt _Fraae /' Steel <br /> <br />SPECIALTY <br /> <br />~/ <br /> <br />Other <br /> <br />FIHISBED FLOOR ELEVATIORS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />'CONTRACIOR SECIION <br /> <br />aMPAHY LZ- ~ /n.~ <br />.1 State Cert. or R st.' <br />I/l~ (,t~ (l.-!!fjl;~ City License Reg stration . . 'If <br />****** ********************************* <br /> <br />;k-e <br /> <br />BUn.DER <br /> <br />F.1.RCTRICIAR . <br />SilnlAture d~ c/Jd (7Wl, <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />JV'tJ <br /> <br />Signature <br /> <br />aMPAHY &.~ .# ij 5 <br />~tate Cert. ::: - gist. . ~ _ <br />(.AJ~~ City License Registration' YJ-Y <br />******** ******************************** <br /> <br />COMPANY I/-c ..e.- <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />'1.5 <br /> <br />PLUMBER <br /> <br />KEGBANlCAL . <br />Signature C~ c/3.$ C?U/V <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />