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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ci <br /><'\/~ <br />rr"r <br /> <br />~6;) # 10" Y <br /> <br />OWNER'S NAKE <br /> <br />(Yl f-J- Sti ~T (C. <br /> <br />nit k.. <; <br /> <br />PHONE <br /> <br />OWNER'S ADDR&SS <br />JOB ADDRESS J r/9 <br /> <br />~A-ru~ '- <br /> <br />V 14-U-(~'-( <br /> <br />Y; /-VI) <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' '1-'(- r 2-~ - U -OO()O- 00/00 - 2.8' (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _A1teration _Repair _Install <br /> <br />_Sign <br /> <br />---"ove <br /> <br />_Deaolish <br /> <br />/.-0 -( v6 <br /> <br />PROPOSED USE: _Single F8Ilily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />_Other <br /> <br />_Restaurant 5: Healt:h Departaent Approval <br /> <br />DESCRIPTION OF WORK: C;c..-~--CtJ <br /> <br />f/...()(HVl, (' J'Wl,f () ~ -r, <br />r , <br /> <br />U - /l-txJnA <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />ooKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS'" (1'\ ..-~ ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDTNl: DT u.... - . <br />PROPERTY SURVEY REQUIRED <br /> <br />I <br /> <br />"7s..~ <br /> <br />,.- ~('0 <br /> <br />~QjLt '-~ + <br />\ <br /> <br />_BUILDING <br /> <br />$ <br /> <br />S760,O{) <br /> <br />_ELEC'l'RICAL <br /> <br />AMP Service <br /> <br />30 tp <br /> <br />~~oA <br /> <br />_W.R.E.C. <br /> <br />----1IECllAlUCAL <br /> <br />$ <br /> <br />, <br /> <br />.- <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />'~1~ s' ~ <br /> <br />TYPE OF CONSTRUCTION: _B1ock _F <br /> <br />r <br /> <br />FIRISHED FLOOR ELEVATIONS: FT . <br /> <br />NO <br /> <br />***************~ <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER ~ COKP ~ ~ JC(joJ t! <br />State Cert. or Regist.' C() <br />Signature City License Registration . <br />****************************************** <br /> <br /> <br />RT .RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SianAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />