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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNERtS ADDRESS <br /> <br />~9o/ <br /> <br />J,/ <br /> <br />PHONE ~/3- 7?;(- 3ft) f( <br />,2~,//./'{ .1.3~~o <br />, <br /> <br />JOB ADDRESS <br /> <br />f /Sl /t"t ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) / <br /> <br />BWCR <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.'/'/-,(b- ,2/- DO//)- O/~(}{)- 00/0 <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ~single Fa.ily <br /> <br />____H/F <br /> <br />____, of Units _K/H <br /> <br />____<=<-ercial <br /> <br />____Indust. <br /> <br />____Swia. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />;/0 <br />~ , <br /> <br />~/'h <br />I e. <br /> <br />,f ~ rE>o)C <br /> <br />Wi -I ~ <br /> <br />~ ~)rJ- <br />, <br /> <br />.5~//(/fk J <br />, <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PWT 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 />$ CtttO <br /> <br />Valuation of Total Construction <br /> <br />____ELEC'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECllAlUCAL <br /> <br />$. <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUKBING <br /> <br />GAS <br /> <br />)( ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____PrOle ____Steel <br /> <br />Other <br /> <br />FIIIISHED 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. , <br />City License Registration t <br />********************.*****....**.********* <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />****.******.**********.***********.******. <br /> <br />SillflAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />***.*.***********.********.*************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />*******************.****************.***** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />COMPANY ~Jw C %we-I/ <br />State Cert. or Regist. , /PC ()O ~~ oS" IS- <br />City License Registration' ~I <br />****************************************** <br /> <br />OTRF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />