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APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAttE ICLA/ /Y\-AA-.-.- OWNER'S ADDRESS ~~ ? ;).,:S ()/~ / Y -L/- PHONE JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BWGK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration ---..Repair _Install _Sign _Move _DeIIOlish PROPOSED USE: _Single Faaily ---.Jtl F _, of Units _M/H _ec-ercial _Indust. _Swia. Pool L-Other \J;Z:~ _Restaurant & Health Depar~ent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~/ _BUILDING PERMITS REOUESTED $ / u cJ. o---v Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECBANI.CAL $ Valuation of Mechanical Installation _PLUttBING GAS ROOFING TYPE OF CONSTRUCTION: _Block _Fralle _Steel SPECIALTY Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION' BUILDER Signature /J7A /Yl.l./l COMPANY State Cert. or Regist. , City License Registration , .......................................... RT,RGTRIClAN COMPANY State Cert. or Regist. , City License Registration , .......................................... SignAture PLUttBER COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature MECHANICAl, COMPANY State Cert. or Regist. t City License Registration , .......................................... Signature omRR COMPANY State Cert. or Regist. , City License Registration , .......................................... Signature APPLICAnON APPllOVEO BY J1 d lI1~ PERMIT OFFICER.