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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME ~ h.)oJ ~ D \ I},.,A rv'k ~ 'D j Cl t' r'V\ 1 d <br /> <br />PHONE 'B I ? ~ '7? 2 - S '5 ? 8 <br /> <br />OWNER · S ADDRESS 5 II I <br />JOB ADDRESS f)to If ~ <br /> <br />14 Lll i)fL. <br />18 #'csT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -"ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_~ercia1 <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />____Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />./ HECHAlfICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ /8,0' o~ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr~e ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />SilmSllture <br /> <br />COMPANY <br />State Cert. or Regist. * <br />City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />KE~:A~~ COMPANY Co{~~ A(C'.f f{e".,.;r;;'5 <br /> <br />C State Cert. or Regi'st. , <br />Signatur City License Registration' 7-1 <br />-~ .......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />