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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE lJ c ~DT H Y <br />OWNER'S ADDRESS 3CJ 50.:2.. <br /> <br />n'\. CzoR-A PHONE (8/3) 7}3-g73,-, <br />~ f\V&/ ZGfJ+~{zH)LLS; FL. 335t/(j <br /> <br />JOB ADDRESS SA-mE <br />LEGAL DESCRIPTION: LOT(S) ..211 BLOCK <br />PARCEL I.D.' /2 - 2fc -;;l { -0> 300 -OOQOC>'- 02...80 <br /> <br />SUBDIVISION SU,v.f"er E.sr/tr-ES <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration ---.Jtepair ~Install <br /> <br />_Sign <br /> <br />--"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Si~leF~ily <br /> <br />--"IF <br /> <br />_' of Units _M/H <br />~swia. Pool ~Other pfl.-!~r FefUC6 <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Departaent Approval / <br />DESCRIPTIDII OF 1ilI1lK: /IJ S..- 8. /.. L A&, vi'- (;f!i><-< N l> (1,0 L -I;fl!::.J'ti:i..FE:tVco>) <br />BUILDING SIZE: X Square Feet, Height <br /> <br />fllrt-ol., <br />// cO <br /> <br />, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br />~P.CTRI.CAL <br />--"E<;RANICAL $ <br />~'~~NG <br />~ <br />TYPE OF CONSTRUCTION: <br /> <br />00 <br />~ 000 :;---- PERMITS REOUESTED <br />$ -.~ f "J., ...~ Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Block <br /> <br />_Fr~e _Steel <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 />RIJTI.Dm <br /> <br />COlITIIAaoR S~ ) <br />. COMPANY ~~~.1:),;{~~ <br />~ '" State Cert. 0 Regist.' </ <br />Signature r 7/l. L ~ City License Registration . <br />**~************************************** <br /> <br />F.T.RCTRICIAR <br /> <br />~-_.,. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SiOOAture <br /> <br />PLUMBER <br /> <br />----.. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />______-or. <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />--------. <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />