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<br />APPLICATION FOR PERMIT i 1/ <br />CITY OF ZEPHYRHILLS hl--d U / " 11 ,tl ( <br />BUILDING DEPARTMENT /~ ~ <br /> <br />OWNER'S NAHK_ () €-- Pet) rt--P"'-tv-I '" f- A I ",-b"4..~ , d=r\l .BHONE ff l "3 -:1? 0 - 070 1 <br />OWNER'S ADDRESS 9' 3~ 1)). [C"-/tI'-:)CA S~, rc..-~e'/ ;::1-. '3 3~ <br />JOB ADDRESS 3-7 /"3 & r,' / "l~A / vet. <br /><t. H "'-c. J..-J.- <br />LEGAL DESCRIPTTON: LOT(S) . BLOCK.-.._SUBDIVISION <br /> <br />PARCEL 1.0.# 0 3 - ;)"l - a.. J - 00/ 0 - J ~a. 0 ~ -00 ~ 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:.E._New Construction __Addition _Alteration __Repair _Install <br /> .L..Sign __Hove _Demolish <br />PROPOSED USE: .__S Ingle Family _H/F _It of Units _H/H <br /> .L_ComIlercial - Indus t. _Swim. Pool __Other <br /> <br />DESCRIPTION OF WORK: - <br />~"'..JI'- '. " <br />RUI.IUG SIZE: _'!.....-X jf/?~. tf~, J i <br /> <br />........t-,~ ")1 tv_ <br />./) . J'J'--d...}.!ji) <br />?s-. 0~, hL~C. <br /> <br />) f tW~ <br /> <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET EN~Y FO~~. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~JLI <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC~) ~ ~i ~'''[p ~. <br /> <br />PERMITS REOUESTED ~~ C~~ <br /> <br />$ J J, 9 7 (, .'~ Valuation of Total Constru ion <br />/ <br /> <br /> <br />I'- <br /> <br />_____Restaurant & Health Department Approval <br /> <br />Square Feet. <br /> <br />Height <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />LBUlLDING <br /> <br />_ELECTRICAL <br /> <br />AMP Serv ice <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_KECHAlHCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />9\ <br />.I~; j, ' <br />1.0'\1 .) <br />Othe~lo= >, J~ <br />FINISHED FLOOR EU:VATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? _ .Y <br />.......................................~s <br /> <br /> <br /> <br />COMPANY 0 :'~,' e .s,'" ~ a-(\.c. <br />State Cert. or Regist. # CS ~ ~QC1~ 7 ) <br />ity License Registration # :'J~{ 0 <br />************ *******************~.0/.cl.j(16i'5rl:r2 'r)((.101( 70 <br /> <br />COMPANY 7;:ie/11/TT/tlr. <br /> <br />State Cert. or Regist. # <br />City License Registration # <br />**.***..***..***.****..*.*..************** <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_PLUMBING <br /> <br />__Block <br /> <br />_Fraae _Steel <br /> <br />Signature <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />SiRnature <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****..*..*.*****************.************* <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />********.***.***************************** <br /> <br />2IIIER COMPANY <br />State Cert. or Regist. It <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />