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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />cJl.J,371)->' ;t <br />- ~.zi!V 1,/;-/1-03 <br /> <br />OWNER'S NAKE ( . G... ~ \ ~ 0 <'Q.."", <br />OWNER'S ADDRESS _ f>c ~O}l. <br />JOB ADDRESS 5" D 3 ~ J -{. ).... <br /> <br />ll' v-~~~ <br />G,Y 5" '- Lv--t L. \'\ <br />s -+ 2. ~~\-."I ('" hI. \\ ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) V.~. '2i3 1-'-\ BLOCK ~()") SUBDIVISION <br />, , , <br /> <br />PARCEL I.D.I~l '2.6 1..,,\ eo\o 1.,0'100 D'L\ 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> LSign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _, of Units _M/H <br /> _eo..ercial _Indust. _Swia. Pool V(;ther <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:----PO \Ala \0(' fa C. e ld(. \0 C4 c. k S 't j ~ iMtl\tA k1~{) l'9 ~ <br />S','^'$\c s'-t-c.t:\ (;,'1 fok. ~\~lt... ~/~3')<S' CO&.\.Ctc:.-fc ~..kr <br />BUILDING SIZE: X. Square Feet. Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. Jt: <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. '. ~j-.:J. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. V?~~) :;r;; ~ ~,~, 'Y~ <br /> <br />PERMITS REOUESTED j) tv (!A. e1 ~~ <br /> <br />f;,0\90 Valuation of Total Constructi n c: ~.~ <br /> <br />AMP Service Florida Power Corp. (!J;l,{Jo 'w':k~:C. <br /> <br />STi {( rJUcP <br /> <br />0/ c- Of/.Y <br />eb '3 <)/~ d, <br /> <br />$ <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installatio <br /> <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block. <br /> <br />Fraae V Steel <br />- - <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVATIONS: iC, <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />NO 1f <br />qO" ~ <br />CONTllAC'l'OR s~ . ~1.1 <br /> <br />BUILDER ~ COMPANY S _ y W C{ ~ t 5t V\ s L:L. C <br />C ~ State Cert. of Regist. , <br />Signature A City License Registration f ~ C> U <br />~ **** * ******************************** <br /> <br />YES <br /> <br />****************************************** <br /> <br />RT.F.CTlUCIAN COMPANY <br />State Cert. or Regist. I <br />SiDnAture City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration I <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />