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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~~J/ 1-,;2$;'1'1 '. <br /> <br />OWNER'S NAME. CI1A RLti-S Rsr~/2.. PHONE 7tfJ-;;~?~ <br />OWNER'S ADDRESS fpl))~ PSI1I< L (\T <br />JOB ADDRESS SA Yt1 E f)/fKSIIJ/i /fJ1 H /J1tR.-k::' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. , (;;, /-/0 ;-P3s PtJ'R ...;)3 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~W Construction _Addition ---1-lteration _Repair _Install <br /> <br />_Sign <br /> <br />-----'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: s/Single Faaily <br /> <br />, <br />-----'l/F _, of Units _"/H <br /> <br />_Coi..Mercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />C4~ P-1p..T -d- P^'T/O <br /> <br />Square Feet,' <br /> <br />Height <br /> <br />BUILDING SIZE :- X <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAClI (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUTRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />_ELECTRICAL <br /> <br />PERHITS REQUESTED <br /> <br />$ <br /> <br />CJ?9.() 0 <br /> <br />Valuation of Total Construction <br /> <br />AMP 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 />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF C<lNSTRUCTION: ____Block ____Fraae ____S teel <br /> <br />I)LJ/fYJ" <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA't <br /> <br />YES NO <br /> <br />..........*...............**........*..*.. <br /> <br />BUILDER <br /> <br />Signature <br /> <br />t~l.ECTRI ClAN <br /> <br />COMPANY <br />State Cert. or Regist. ~ <br />City License Registration i <br />.*....***...._.*****_.*....*...*....**.*** <br /> <br />Sh:nature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*.****.******.**.****************.._****** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. I <br />/ City License Registration . <br />***..******.********.**..******.*****.*.** . <br /> <br />Signature <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration' <br />.******..*_.****************************** <br /> <br /> <br />APPLICATION AP~.~:_~ ~~~~=~ <br /> <br />,v- '.....h;.. :._... '.; <br />