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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />'&y:x i '-~ VWU c'/~ <br />6a~~ /Ati ..q. <br />. SAMe <br /> <br />7-~,is <br /> <br />PHONE 7J-1 <br /> <br />..." s 7 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) Z~ BLO~ SUBDIVISION t:::r;<;;r;t:J <br />PARCEL LD.' :< -~, -ZI .. O/J-tP- OASm - Pi? 'Z..L. (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _M/H <br />_Swim. Pool ~Other <br /> <br />_CoB.ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:-Al/~A.iAiIJllA ~ pa.J I ~~ ~ <br />, <br />BUILDING SIZE: ~ xL, (;lIt? Square Feet, K Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _Steel ~/AJ. Wfj q\ <br /> <br />Other <br /> <br />YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />**..*.*...........*..***..*****...******** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br />~lv Signature ~ <br /> <br />COMPANY <br />~ State Gert. or Regist. . <br />City License Registration , <br />*.** *..*.**********.********************* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. * <br />City License Registration # <br />*********.*******.******...*.************* <br /> <br />SiQTlature <br /> <br />PLUHBER <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. I <br />City License Registration , <br />*****.*.**.*....**.*.**.*.*..****...**.**. <br /> <br />Signature <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. , <br />~{:; Signature City License Registration # .3- <br />* * .*.*****.*.********.*****.*********.*. <br /> <br />APPLICATION APPROVED BY lId"'-'" 1m -It; PBRIIlT OFFICER. <br /> <br /> <br />