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<br />OWNER'S NAKE V HS f2.EAL::tY <br />OWNER'S ADDRESS 777 .D612HAvV\ <3T: <br />JOB ADDRESS 501-8 GA~ gvO. <br /> <br />'---'1\ ')) <br />0- \.\0.1 . \ iJ1-' 0 <br />.. 10') 11~ IJ R.--D <br />,Il // ;v-) "'at- <br /> <br />PHONE 181-~28-77'O <br />CANTON . MA.. 0202-1 <br />I <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B~SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration -Jepair ~Install <br /> ~Sign -'love _DeJIOlish <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/B <br /> _~.J:~ercial _Indust. _Swill. Pool _Other <br /> <br />_Restaurant & B<<:alth Departaent Approval <br />DESCRIPTION OF WORK:_' f\J ~ALL WALL- ~L~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Beight <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />A'lTACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />A'lTACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />5~5.0o <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECllAllICAL <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: _B1ock _Fraae _Steel <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br /> <br /> <br />****************************************** <br /> <br />BIITT .DER <br /> <br />-"I, /'t==/'/' <br />..,.,--.r. j'V <br />...., .,; '- -- <br /> <br />./ <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />F.T.F.CTRICIAN <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COKPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COKPANY <br />State Cert. or Regist. t <br />City License Registra~~.~ <br />,1r)ti"W #'I.. Afl.********....********************..*....**** <br />~~ .'" 'Y~""~~~ t- ""~, ., <br /> <br />", .\~.l.ff~.~..,\.c."'""' ......... ':,. -'i'" <br />. PERMIT OFFICER. <br /> <br />Signature <br /> <br />o' .,~ <br />).~~. :....-. "';~ <br /> <br />. .~: ," <br /> <br />APPLICATION APBIlOWD....., ....~ ....i,..., <br /> <br />"J <br />