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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~1-,;21~1r <br /> <br />OWNER · S NAKE <br /> <br />jf~R- <br /> <br />I <br /> <br />/JtlrLRsrAr~ /II#I1ILk !JItI/IIE:S PHONE <br />S'7~ /(,(J S:-f <br />'Z f(1J1rte KJJ)&P: lJe.. <br />. <br /> <br />7c?cJ ~;)Q 7" <br /> <br />OWNER' S ADDRESS _-? S dl ~ ? <br />JOB ADDRESS 1..0 r-/I '" 1// <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.D.' .s - ~ ~;;'J- O/~ - CJO~"()-tJ//O (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~w Construction _Addition ~lteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: """""-Single Faaily _H/F _' of Units _HID <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: S"HE..o -s'<:.~EEp ~l>OI"1 - C/tICIV)~:r <br />BUILDING SIZE: /0 X).z. /:2 0 Square Feet.~.Jo <} 'Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V'BUILDING <br /> <br />$ ~iJq~ 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECBARICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />v:: <br />_Fraae _Steel <br /> <br />/7J.J1 rY1 . <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 />Signature <br /> <br />CONTRACTOR SECTION- <br /> <br />COMPANY /ICE 11 J.. J.1 ~ . <br />L? /J~ ~_ /J , State Cert. or Regist. , C,ec.J>.j>ffRlJ <br />~~ City License Registration . ~l' <br />****************************************** <br /> <br />BUILDER <br /> <br />RT .F.CTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />***********.****************************** <br /> <br />SiQDAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />**..****.*******************.************* <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />********..******************.************* <br /> <br />Signature <br /> <br />OTRRR <br /> <br />;':~f...t'~ 7'.~'~ '-: ~." <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************.******** <br /> <br />~ .~ rl~;;;;~~;h~;: <br /> <br />, <br />, <br />:1; <br />....~............'r_.':.,.. '......---"'4..-......~,_ <br /> <br />Signature <br /> <br />APPLICATIONiAPPROVED BY <br /> <br /> <br />.:.1f_.,'G.'!..:.,......-.r,"'..1lI'.......:~ " <br />