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<br />APPLIcATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE f/llL S/f)rrll <br />OWNER'S ADDRFSS L~ J: IS- ...? R~ .31/ <br />JOB ADDRESS ..s.'lJ~ ~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE 1KIJ-Wf'l <br /> <br />AI9Jt/~MO,IJ ~t7t),o <br />)&III r' WA~,() )4//.I'4tJ.r 7,(1 ./'h',eK <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />/ 'f --d"-J./-O//'~-tJtJOOO- ttJ/S-D <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: v-Hew Construction ~ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~~le Faaily <br /> <br />_H/F _' of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: c..///VCe~r~ d-' Ai-UP" ~ p.,/P'ID SH$t:J <br /> <br />BUILDING SIZE: 9 X '7 ?/ Square Feet. 3',.; 7 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />"BUILDING <br /> <br />$ <br /> <br />?9tf,OO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <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 />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block ~raae _Steel <br /> <br />SPECIALTY <br /> <br />/.1 L J;I /'1. 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 />" <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />~ COIlPAIlY /l~ /lLUP'1 <br />State Cert. or Regist. . ~ c.p3~YO <br />City License Registration f ,/ ~O <br />****************************************** <br /> <br />Signature <br /> <br />SiRllature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />********************* ****************** <br /> <br />OTHER <br /> <br />Signat~re <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />