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<br />APPLICATION FOR PERMIT P ~ <br />CITY OF ZEPHYRHILLS rg...(,.L> <br />BUILDING DEPARTMENT 9 <br /> <br />,-ly-9t- <br /> <br />OWNER'S NAKE <br /> <br />~LA-I Alc- <br /> <br />M,VeR.wl~5~ <br />j 1 Sti I ftrvt IE , (..h{ <; r <br />~nt r-:. ,'-I ~ $., <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />31 s-q./ <br /> <br />t--o.,.- <br /> <br />LLf <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 1.0.' ~~- 2-( -??oo - oD/{XJ- <br />WORK PROPOSED: ew Construction ~ition <br /> <br />SUBDIVISION ~11A1~fl.fi-LtJ PlJf Nr <br />U t (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />_Alteration _Repair _Install <br /> <br />_Sign <br /> <br />----..Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />~ <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant it Hea1th Departaent Approval <br /> <br />DESCRIPTION OF WORK:S'C;z,(i,,;;w {UJiNv'l J Oil fU)lJll;t- <br />( <br /> <br />BUILDING SIZE: 11- X .~~ .-E-lo Square Feet,___Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />7()eo- DO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGBARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel /JW;J;lfA!t/H{ <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUll .DER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY B ~H C fTrJS(I'I.AJ~ T/()IJ IF <br /> <br />H....A.-1 State Cert. or Regist. , <br />"'f'..l /UA;- I' -/l.h- City License Registration f <br />cJ ............*****.****..*..*....*****.***. <br /> <br /> <br />FL( <br />~ <br /> <br />Signature <br /> <br />RT.RGTRIGIAR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />*..*.........*..*.......**...*.......*.... <br /> <br />SillmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />...........*.**...*...............**.*.*.. <br /> <br />Signature <br /> <br />HEGBANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />................................*......... <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />