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<br />~ltY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME f'r\l1etJA- 'S.kme.i\..J <br />I <br />OWNER'S ADDRESS t:t-3~Q. ~\tU ~Y\ <br /> <br />JOB ADDRESS SA-fY\b <br /> <br />cA:: - ~~h.~ _ <br /> <br />'..-' <br />';\'h <br />./~t;:.. <br /> <br />LEGAL D&~CRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION,,>:< <br />, . ':~'~~~ll"/:-. <br />, (OBTAIN FROM PROPERTY TAX NOTiCE) <br /> <br />~~eration ----aepair ~~ <br />- ,ill <br /> <br />o~'..' ., <br /> <br />PARCEL 1. D. # <br />WORK PROPOSED:____New Construction ~ddition <br /> <br />____Sign <br /> <br />-Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F <br /> <br />_* of Units <br /> <br />_M/H <br /> <br /> <br />; <br />...,"n <br />~ ; ~ . <br />'~.;ll;~'f' <br />":2!1': <br />~'~" <br />-Restaurant & Health Department Approval ';~i~;~. <br /> <br />DESCRIPTION OF WORK: ~ v=<9 €t""""'" ~) "'-~ e,lodc ~:.J <br /> <br />BUILDING SIZE: -X--. Square Feet. Height :l~ <br />,\jA '. <br />RESIDENTIAL: ATTACH (2) FLOT l'LANs . (2) SETS OF BUILDING PLANS, (1) SET ENERGY FO~~t <br />COHIIERCIAL: ATTACH (3) SETS OF BUILDING PLANS. (1) SET ENERGY FOEllS. .?$). <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION ';:i;S{,. <br />:.'''fl <br />~L <br />.,.:,.'l. <br />~.(~P <br /> <br />_eo.tercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />_Other <br /> <br />_BUILDING <br /> <br />$ <br /> <br />oe- <br />\3,500 ~ <br /> <br />PERMTTS REOUESTEl! <br /> <br />Valuation of Total Construction <br /> <br />GAS <br />~lock <br /> <br />:fJ <br />. ~W.R.E.C';~,l <br />@l~', <br />VM::::N:f HechanicM =::iool <br /> <br />.~..p" . <br /> <br />Florida Power Corp. <br /> <br />_ELEc:"RICAL <br /> <br /> <br />~ <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />AMP Service <br /> <br />$ <br /> <br />_Fralle <br /> <br />_Steel <br /> <br />Other <br /> <br />COMPANY c.--. <br />~ State Cert. r Regist. #eBQ..-03..st~ <br />c-- City License Registration # ~1 Lf <br />****************************************** <br /> <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOoD ZONE AREA? <br /> <br />- <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUlLD~ <br />Signature~ <br /> <br />CONTRACTOR SECTION <br /> <br />ELECTRICIAN <br /> <br />. COMPANY-IY\~ &-~~~~~<<- <br />g <5 5A / /~ - . State Cert. or Eegist. # <br />. , I/v7 (9~ ~ 'r..J City License Registration t r:l. ;t 'J.- <br />****************************************** <br /> <br />~'JO:,". <br /> <br />Signature <br /> <br />/O/A <br /> <br />", <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br /> <br />"'l, <br /> <br />L~~: . <br /> <br />SiRnature <br /> <br />FLUMB~ <br /> <br />MECHANICAI.t <br /> <br />Signature <br /> <br />IU ~r- <br />I <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration * <br />****************************************** <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />