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<br />APPLICAnON FOR PDKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAME <br /> <br />/lJ/Jf<//5 <br /> <br />P/17ZJIN6- <br /> <br />PHONE <br /> <br />II' J' -16~b <br /> <br />OWNER'S ADDRESS lor- 'IS J./bJJ rlljl/k S1: <br /> <br />JOB ADDRESS <br /> <br />S/1I'1J: <br /> <br />LEGAL DESCRIPI'ION: LOT(S) B~SUBDIVISION <br />PARCEL LD.' /tf -~b-c:t-t:Q..71J.-tJtJa)!J-p,/SCJ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :J:::::jew Construction --^<<Idition --Alteration ~epair _Install <br /> _Sign ---1Iove _Deaolish <br />PROPOSED USE: ~iI1g1e Faaily ----1t/ F _' of Units ----1t/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />---..Restaurant 5: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: C'ON C-J(! /!.,Ii".,y AL.(.,{ IY1 QoOr- <br /> <br />BUILDING SIZE: X . ..sf:, f Square Feet, Q;8J" ~ Height <br /> <br />RESIDEBTIAL: ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. <br />COKHERCIAL: ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />J S-'-IO. 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l"RI.CAL <br /> <br />AItP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.--..KECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLUttBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY . <br />/J ?-,UI""1 Other <br /> <br />TYPE OF COIISTRUcnON: ~1ock ~raae _Steel <br /> <br />FIllISHED FLOOR ELEVAnOIlS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUTlJ1ER <br /> <br />CONTRACTOR SECTION <br /> <br />. . '.' . 'aiHPANY /lC$ I9LJf j'1'1. <br />/?/;/ 1.- ;},' StateCert. or Regist. . cecDs,l/b?O <br />~.~ City License Registration' /1,0 <br />........................................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Sionature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTHER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLI~.;rI~R ~PRO. ...~..a,: ~ ~..,..~. FICRR. <br />'~I' \.~ . J..:I r:::::::. ~ <br />