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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME~qrks r'biQn~ <br />OWNER'S ADDRESS (D ~d" S \ \LX:-V <br /> <br />K~YnQn <br />Gaks br. <br /> <br />PHONE /~ '3 -LtJ}o 70, <br /> <br />JOB ADDRESS <br /> <br />c:..axn Q... <br /> <br />LEGAL DESCRIPTION: LOT(S) \ \ lo BLOCK SUBDIVISION S,( UE'_y ~} <; <br />PARCEL I.D.'(>~-ato-d\ - ~\ OR -cxx::nb -llloO <br />WORK PROPOSED: ~ew Construction ____Addition Alteration ____Repair Install <br /> <br />_Sign <br /> <br />Move <br /> <br />Demolish <br /> <br />PROPOSED USE: <br /> <br />Single Family <br /> <br />____M/F <br /> <br />_# of Units <br /> <br />____M/H <br /> <br />CODlllercial <br /> <br />Indust. L/Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />^ <br /> <br />BUILDING SIZE: <br /> <br />x_, <br /> <br />Square Feet, <br /> <br />Height <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 />**COPY OF CONTRACT REQUIRED.. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br />ELECTRICAL <br /> <br />$ <br /> <br />00 <br />I '/,53 - <br />. ~ / <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />i>Z. Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: Block Frame Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F'l'. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER ~fj ~ COHPANY/C/t1(Sv/V PC<;( AltJ' (JIH2f" ~ <br />, ..I v,' State Cert. or Regist. # <.:.JJr:.03C/Zt' ?S'- <br />Signatur ~vt....L. /I. City License Registration # :J..9 <br />****************************************** <br /> <br />CO ANY / C I. // ~/. _'.' ./i/' C,. <br />MP C , j,..:.... / 1__"'- ACt: . _ /' _ _ <br />State Cert. or Regist. # ( ,/ <br />Ci ty License Registration # . / 9 / <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />1) ~ ~ ~ State Cert. or Regist. # <br />.1 V1 Ci ty License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />~ ~ COMPANY 1{#'1J1/lf/lfld/l/'g /4iJ/Wl <br />I. iii d' State Cert. or Regist. , AAn7C?'f <br />Signature '~j/)Ii; Ci ty License Registration # 7~ <br />*** ************************************** <br />'-1/1 W :AI <br />APPLICATION APPROVED BY " / "-"'..<'^-0 W,Jt1 ,JW-/::>',; ,: <br /> <br />OTHER <br /> <br />/DlIlPt..1JS-?I<j <br /> <br />PERMIT OFFICER. <br />