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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />../ <br /> <br />t.J:;S <br />q 1"' 'l <br />ClJ..))/d-/7./r~ <br />/ 4--/ -' <br /> <br />8\ ~ "16'6. b3 \(.0 <br /> <br />OWNER'S NAME h'1->, ()N}Q~ ~,)~""j'";";.\.Jb:'- ~A}J't.. o~ tt.Qt.'OA PHONE <br />OWNER'S ADDRESS ::S8o~~ tJ. AVe.. 2\s.,pHq\,~~\~V:'" I \4-. <br />JOB ADDRESS '3 BOO~ N, A.. vc. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' \0 - z.~ - 2\ - OOz..,O.' 00000 - 00 \ 0 COBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition -L'Alteration _Repair / Install <br /> <br />_Sign <br /> <br />--.Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single Family <br />/C0.8erCial <br /> <br />_H/F <br /> <br />_, of Units _M/H <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: 1"-lS:TA\-L I-JEvJ ~"\h/"'" (""~c.AAJ.~f/ Vp~/lAl>CS:. AD~. ..p~~\N~ <br />BUILDING SIZE: ~Xf~,. Square Feet, Height <br /> <br />RESIDENTIAL: <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 />~BUILDING <br />LELEGTRlGAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />. "/.bO <br />v, ... ,.-<', \7' AMP S . <br />I..... ,,, > '''-1_ eCV1ce <br /> <br />&00 <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGHARlGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block ,/' Fralle _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUUJlER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY "\1..~ l s.. U)('.Ji4..J...G\\,oJG.) (,v e, <br />State Cert. or Regist. , U<:-. o""l.SG((g\ <br />City License Registration' -z.~L.'lt \ <br />.......................................... <br /> <br />Signature <br /> <br />EUCfnCIAN ~ ~~ COMPANY -SO\~U-"') ~AJ"t/L 1 ~j"Y'LD~ <br />- State Cert. or Regist. * E~ooO\3~1.Cf <br />=:~ :/::! ~5 City License Registration t .2.~LJ '3 <br />. *.........**.***********.*************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />**.*..*.***....***********....****..*.**** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />..*..***.**.********.*******..***.******** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.*..*..*....*.*......*...*.**...***.***.*. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />