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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAKE /;J 01- '1 {l r t <br />OWNER · S ADDRESS 7 L1 '2 e;- (; c? tf {I (u 1 <br />JOB ADDRESS 7 L1 2- S 6' a II (J ( (/ J <br /> <br />PHONE <br /> <br />7q2-/1)7 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 1.D,' 34 2<)' 2/ 6000 tJ050tJ ODL(O <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction LAddition _Alteration _Repair _Install <br /> <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single F8Ilily _M/F _' of Units _K/H <br /> -L~ercial _Indust, _Swim, Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: I I') 5fJi (j) .f-so(c-dJ 0vuvV/c1 {}()f/e f Pot!' If TJrl 1j//aG~/n 'e [nsr~J(J (fort <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLABS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLABS & (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />~ELEGTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W,R,E,C, <br /> <br />_HEGBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 />CONTRACIOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert, or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />RT.RGTRICIAR <br /> <br />COMPANY Ie k f vi 00 E Ie c f r Ie c:d( )y <;1 e-,,) S <br />State Cert, or Regist,' f'- co dr:/ III G <br />City License Registration . <br />****************************************** <br /> <br />SiRnAture <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert, or Regist, , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />HEGHARICAL <br /> <br />COMPANY <br />State Cert, or Regist, f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert, or Regist, f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />