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<br />II) <br /><. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />~\e\T~D V\\m~\D <br />2f\\ ':1t1 L0rix\ \~r\rt \)\, 1.p0'n. \f" "'~\ \ \~ <br />Ul~~~ \)R\\~ ~VH-\ 7:.o~~r-\-\\\~ <br />SUBDIVISION ~\f\\-\x)'> \t, \ <br /> <br />PIIONE <br /> <br />l~~ ~f)S(D <br /> <br />OWNER · S NAME <br /> <br />OWNER t S ADDRESS <br /> <br />LEGAL DESL~PTION: LOT(S) <br /> <br />BWCR <br /> <br />~(\~ ~ \CL-::'''-, \5' ;t~c~ <br />c) _ <br /> <br />PARCEL I.D.' ->,. l\ <br />\uwr\~\\) ~tJ.'::l, \a.N-C\iL d-\ E 9\1\\- C&\)~<:--\t: \\"J ~\GM-,-\ 1(0~W01L\ \o'~ s <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall <br /> <br /> <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____H/F <br /> <br />____, of Units ____H/H <br /> <br />_eo..ercial <br /> <br />_lndust. <br /> <br />_Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br />DESGRIPTIONOFWORK:~S\f\\\Qc\ 5 ftNd ~'C-\L ~O(\\('p_ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />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 />Valuation of Total Construction <br /> <br />~LECTRlCAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.G. <br /> <br />--"ECHANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS RQOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION' <br /> <br />BUILDER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.....~.................................... <br /> <br />Signature <br /> <br />ELECTRICIAR <br /> <br />COKPANY <br />State Cert. or Regist. # <br />City License Registration , <br />.......................................... <br /> <br />Sianature <br /> <br />PLUMBER. <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration t _____ <br />.......................................... <br /> <br />Signature <br /> <br />tlECHANICAL <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />!UllBR <br />Signature ....l)"- Q :\ 0 ~I\ <br /> <br />~ COKPANY ffi,6 \\(JI\c\f\ to(,\~P ~() \NC' <br />State Cert. or Regist. , <br />Cl!\'l.JlO City License Registration t 1,0.1 <br />.......................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PEmUT OFFICER. <br />