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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S RAKE jC'~ ('\\ Qx~ f> Nc\ ~r <br />OWNER'S ADDRESS ~SZ~4 \ \\l~~l A\Nl \ c.A C <br />1 <br /> <br />PHONL.J~~ '5C\l ~C\ <br />1 ~~"'\ \ \\1 ~ \ \,:> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) B~SUBDIVISION <br />{ l.)5~COCO\~ <br />PARCEL 1.D.' (';idr:J.l cQ,\ {"){")\,[\ (~lnl\(J()tx'~{') (OBTAIN FROM PROPERTY TAX NOTICE) <br />/ ()u>C0000~ <br />WORK PROPOSED:_New Construction ---..Addition ----..A1.teration -3epair ~tall <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1f./F _' of Units ---1f./H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-3estaurant I( Health Departaent Approval <br />DESCRIPTION OF WORK: \~~\~.\ \11\ 0.,\\'(\\ M \, ~\~ \-~ MQa 8 ~ ~~ (; <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />A'nACII (2) PLOT PLANS I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS. <br />A'nACII (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1f.ECHAlIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBIRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COliSTRUcrION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAfiOliS: <br /> <br />FT. <br /> <br />IS PROJEct' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACt'OR SECTION <br /> <br />Rlfll.Do. <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT ,R.r.TRTCIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SianAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />KECllARlCAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR J' 0 COMPANY '(\\;2\ \-\\:J\\C\n \Qs~~0 <br />1\ \ (\ State Cert. or Regist. . <br />Signature"- I \, y\ 0/\ 0 ~\~ ,R f\'{ J \J City License Registration' \ ()~ \ <br />.......................................... <br /> <br />to . . \ 1'\(\ <br />, <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />