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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />l-,~ 8.- os- <br /> <br />OWNER'S NAKE <br /> <br />~EAbI'2.eE:.2E: <br /> <br />( pV EST tV-.. c;U T <br />I <br />. <br /> <br />I t-J e.- PHONE .,g;;,~'7cfyy <br />.&/1 ~t: C { '1 r L -3 r?- " ;}-~, <br /> <br />OWNER'S ADDRESS 5/~ V~ <br />JOB ADDRESs3C(6c15 }- 3<g~ ~I <br /> <br />...<':'1/y JZ( ! LC (> ~ <br />R(J.<;e ,( xl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />,..-, <br />SUBDIVISION 1){.4 t.. }-';,q/C-IC <br /> <br />PARCEL LD.' 0;), - d~ - ;21- OOYo -ooAoo- DD40 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:.LNew Construction _Addition ---.Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single F8IIily ~H/F ~ I of Units ----1t/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br />DESCRIPTION OF WORK: WIJS,Tf:Uc,rO).) uF b-uPU::::)L.- <br />BUILDING SIZE: 5b xcJlf:t7, ~:)~t./ Square Feet. R Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />i."'''/BUILDING <br /> <br />$ ~()I tYDO.- 07> <br /> <br />Valuation of Total Construction <br /> <br />.../ ELECTRICAL <br /> <br />~ <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Other <br /> <br />~~ <br />;r <br />.,lSV~ <br /> <br />~MEC8ANICAL <br /> <br />$ <br /> <br />5. t5l5b. oD <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUKBIRG GAS ROOFING <br />TYPE OF CORSTRUC'I'ION: ,K-Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />FIllISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJEC'I' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIJII.DER <br /> <br /> <br />CONTRAC'I'OR SEC'I'ION <br /> <br />COMPANY G. CO 6 rf.vc G.D;...JS;Tk!u(TloAJ <br />State Cert. or Regist. I Cl.llf)c O~i.3 9 <br />City License Registration I ~o~ <br />**************************************** <br /> <br />Signature <br /> <br /> <br />COMPANY flj.J+R..:nu LL t:;- C 7/2 (c. <br />tate Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br /> <br />PLUMBER <br /> <br />~ COIIPAIfY C,t.!IZiS ~ flL'rVJ{lJ I; <br />(?, ~. . $&...4 State Cert. or Regist. f roo It <br />, . City License Registration f <br />. ****************************************** <br /> <br /> <br />Signature <br /> <br />MECHANICAL <br />Signature ~( <br /> <br /> <br />COMPANY & "7'e j- ~/~ t G"q..s €,. /f/C f,vc <br />State Cert. or Regist. f Ac.cs y- 39 VR <br />City License Registration, /'~ <br />****************************************** <br /> <br />omF.R <br />Signatur~ <br /> <br />COMPANY t3f}.11D Z~.roCI}..J b <br />State Cert. or Regist. f iCe... ooct(p~l.{ / <br />City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />