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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/~. \ j / - -- I ~ - 1.).'!;J,.. ) ~ <br />(-' A /1 J.'l""dL ($ v.i/ <br />. ~ j~ . . <br /> <br />OWNER'S NAKE -J1~ +Jil~ 'gPff/sf Ci-iJ.cl <br />OWNER'S ADDRESS 3 8 '300 <;' -+- l A \J c Z.- II/II s <br /> <br />PHONE 7 ? z. - S-S- '7 c/ <br /> <br />33 s-V I <br /> <br />JOB ADDRESS <br /> <br />/1~7..eo-OCJIO-I"'f#OC - 0170 <br />t'- ,(.0 - €.,V'1:> - ; {,,(;, ('(..' - 0/::;'0 <br />LEGAL DESCRIPTION: LOT(S) BLOCK I let:, SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />t~ration ____Repair ____Install <br /> <br />WORK PROPOSED:_New Construction ____Addition <br /> <br />____Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br />~rcial <br /> <br />_KIF <br /> <br />_' of Units ____K/H <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant &: Health Department Approval <br /> <br />DESCRIPTION OF WORK: L f'-f I t? It . -" rt <br /> <br />It ~t-% d ~ /'~t Q- <br />", <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 /> <br />AttP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____FrUle _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 />BUlIJ)ER <br /> <br /> <br />7 <br /> <br />COMPANY J ~ ~ /..-- L. S't--> .-f,{ <br />State Cert. or Regist. . It> 8 <br />City License Registration , <br />.......................................... <br /> <br /> <br />{} d r-(.c: 1-- <br />..3 7J ~ / <br />h .!'- <br /> <br />ELECTRICIAR/7 I COMPANY A:1Ck./ttelJ C~If',A/lJUI .5keT/fCCA.L C"dtt/,7; <br />{/ / (,0 t'),/ State Cert. or Regist. . <br />SiRlUlture/~?7'-Zy-e-e . ~ L-cz.~ceq City License Registration t .,}'t..y'C; <br />, .......................................... <br /> <br />PLUKBER L; . , . ~ - COMPANY (jl//~:; ;5,.1/1(( J?jf/I~'{61:tl! <br />/' " ~. I ( <... / State Cert. or Regist.' 1< ~ C'() Y I 5 f f) <br />Signature ( -if :':Jv'jfjt,..- //, l./ J..i'fC 7 City License Registration' .0 7 <br />,/ ......................*................... <br /> <br />Signature <br /> <br />~ COIlPARY 5' O~ <br /> <br />~ ~ State Cer!:. or Regist. , <br />~. .~ City License Registration , <br />. ~. ... .... ....................*........... <br /> <br />( <br />-~ <br /> <br />MECHANICAL <br /> <br />~~ <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />......*.............................*..... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />