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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />--- <br /> <br />'-..I-t<k:t ?~8- -302. Ri - <br /> <br />,. <br /> <br />OWNER'S NAKE <br /> <br />R-eb4 <br /> <br />G u.) LA{. ~ <br />M..vr S-'; W <br /> <br />PHONE 3/)- ~ 87 ~ g)./ <br />Z~~~/l-lJtd 7ek '3:J ~77 <br /> <br />OWNER'S ADDRESS 3 7 9 ~? <br /> <br />JOB ADDRESS <br /> <br />S~_ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I,D,' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~lteration V-;epair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />~~ercial <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_Indust, <br /> <br />_Swia, Pool ___Other <br /> <br />_Restaurant & Healt}J.,J}epartaent Approval <br />D~ . .,e <br />DESCRIPTION OF WORK: ~,.,.c, ~ I^-- If"f ~ ~ rr :y-e~ <br />~' J <br />BUILDING SIZE: /0 X /7, / ? 0 Square Feet, <l ~ /D Height <br /> <br />RESIDENTIAL: <br />COftMERCIAL : <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 />9 7.5' ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp, <br /> <br />W,R,E,C, <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'I'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEC'I' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'I'OR SECTION <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert, or Regist, , <br />City License Registration . <br />* **************************** <br /> <br /> <br />~ <br /> <br />BUILDER <br /> <br />F.T.RC'I'RICIAR COMPANY <br />State Cert, or Regist, . <br />Sianature City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert, or Regist, . <br />Signature City License Registration , <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or RegiBt, f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert, or Regist, , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />