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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />3'ff <br />n,// <br /> <br />PHONE <br /> <br />~ JIJ-J~-9Y <br /> <br />OWNER'S NAME <br /> <br />WhQc1'hl::11ctJ Tn(' <br /> <br />(M; kp T .yn("n ) <br /> <br />J <br />(Rn) 71E:l_7117 <br /> <br />OWNER'S ADDRESS Wh<:><=>n~l;H:::t-. Tn(" ,051 Co~land Dri"'i'. 'Zli'pbyrbU l'i. FL 33540 <br /> <br />JOB ADDRESS <br /> <br />Wh<:><:>l h1 ;:,,:::t- Tn(" <br /> <br />~Ql:\l "'r\~'rinn nrii.ro '7c['"yrhillc 17f ~~t:\LI() <br /> <br />LEGAL DESCRIPTION: LOT(S) Attached <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 24-26-21-0000-00100-0080 <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -X-Addition. --..Alteration -.-Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_DeJlolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/B <br /> <br />_~ercial <br /> <br />-x--Indust. <br /> <br />_Swia. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br />?-7 (7(}(J s..f2f P<=\.J;N$,.. (iltJ/~/.f1l1) . <br />DESCRIPTION OF WORK: C 81 :_1>_ _.!.'_ _ ~~. __ . .. _ _ h_':'lJ' _ ~...m",.L ~~_ _ h.... ~l. L ...~1I <br />f~ '.'J 'r~l: I L '."l~'. r 11.1 ~_llJM.~. <br />BUILDING SIZE:'" X . u Square Feet, ~ Height <br />c~. Ie" .[ 28' ~99!. i T>~\'A '1" .. II:" TI: ':'.L <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />lb,rpdJ ~ <br /> <br />PERMITS REOUESTED <br /> <br />----1L.BUILDING <br /> <br />$ <br /> <br />... J <br /> <br />- ,. <br /> <br />Valuation of Total Construction <br /> <br />-X-ELECTRICAL <br /> <br />~hn AKP Service <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.llLAJtECIIANlCAL <br /> <br />$ <br /> <br />N/A <br /> <br />Valuation of Mechanical Installation <br /> <br />-1LPLUKBING <br /> <br />N/A GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Praae -x-Steel <br /> <br />Other <br /> <br />PIJfISHED FLOOR ELEVATIONS:?? _ 1:)0 FT. IS PROJECT IN FLOOD ZONE AREA., -X-- <br />Storage Building YES NO <br />.......................................... <br /> <br />'CONTRACTOR SECTION <br /> <br />BUILDER COMPAHY Whppl hl :::l!':::t- " Tn(" <br />..--;1/~-~>)' State Cert. or Regist. , <br />Signature ,Yr-~~c:2." --;?~,,,~.;;,,.. City License RegistratioR , <br />.......................................... <br /> <br /> <br />State Cert. or <br />City License Registration , <br />....................... <br /> <br />City <br />................................... <br /> <br />_. or Regist. , 1';0 ??61 522 <br />_ on . ("'7 <br />~--=-~~<~ <br /> <br />2617/%"( <br /> <br /> <br />Signature <br /> <br />COKPAHY N/A <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />HECHAHICAL <br /> <br />OTRRR COKPAHY Wheelblast, Inc. (site) <br /> <br />.,_/./~~ ~ State Cert. or Resist. , <br />Signature <.. ~ .., , -::::::::--- , . City License Registration , <br />.......................................... <br /> <br />I;, '; <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />v <br />