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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />S3,3S <br />g1~~ <br /> <br />OWNER'S NAME OJ.irNfl V, hrl,f/~ <br /> <br />PHONE <br /> <br />OWNER' S ADD~S <br />JOB ADDRESS ~/ l') 0 II A R /{ / A f- (""' .,1-. <br /> <br />.2~~~~4IS' rL /-1-. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~~~~__~~..0 3 -:;J.6 -;;Lf- lJ% -ll()oo -ODt( ,I (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Const.ruct.ion _Addit.ion ---Alt.eration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeJlolish <br /> <br />PRO~ED USE:#lngle F..ily <br />, _<=<-ercial <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />~ <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />_Restaurant. &: Health Depart:llent. Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet.. <br /> <br />Height <br /> <br />~IDENTIAL: <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 />t/'/BUILDING <br />V'ELECTRICAL <br />/MECllARICAL <br />V~UtlBING <br /> <br />$//.0 ~ 0/) . <br /> <br />PERMITS REOUESTED <br /> <br />Q " <br /> <br />Valuation of Total Construct.ion <br /> <br />"- ---...", <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuat.ion of Mechanical Installat.ion <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _St.eel <br /> <br />Ot.her <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />JU <br /> <br />BUILDER <br />Signature ~"" <br /> <br /> <br />CONTRACTO~ION <br /> <br />00/fP~" 0 //-< ill IV -:;),,), ~ <r.~~ &+- '" p <br />"7,J'/ State Cert.. or Regi ., 7#0000 ~ <br />~~ " City License Regist.ration' .;;b{J; J t1- <br />****************************************** ' I <br />COMPANY L i I } A-;r 6Jnciib bn( n <br />~ 11 P () ..0 St.at.e Cert.. or Regist.. t <br />~ 'rJ-rf_____ City License Regist.rat.ion , <br />****************************************** <br /> <br />Si MUll t.ure <br /> <br /> <br />:7,5/ <br />1. F.T.RCTRICIAN <br /> <br />)5 <br /> <br />rJ.0lIlJIl ~ ~ OO/fP~oo77+ m/#])..II(<~ t--5...+-'^-P <br /> <br />, ,Stat.e Cert.. or Reg/st. #~H- 00/ 7t!? <br />Signature /h;': ~ - - ~ City License ReEistration t ...2 Cll '7 <br />, ****************************************** <br /> <br />Signat.ure <br /> <br />?2 COMPANY U " <br />).' St.at.e Cert.. or gist.' <br />~~6 ~. City License Registration , <br />~***~*****************.********. <br /> <br /> <br />/ <br /> <br />,- <br />?.5 <br /> <br />MECHANICAL <br /> <br />OTRRR COMPANY <br />St.at.e Cert.. or Regist.. f <br />Signat.ure Cit.y License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />