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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />~,R, <br /> <br />l <br />.... ) '" I "' <br />rJ fJ t 1: /'~~; l/ <br />. <br /> <br />PHONE <br /> <br />p) >t,l ~ <br />. , r' <br /> <br />",)~~~)d <br /> <br />OWNER'S ADDRESS <br /> <br />f , '. !" <br />~~ ....J <br /> <br />r . .' " " f <br />.... tI ,10.,\ ,.\ '. I.'::.' ( j \ I '" ~ <br /> <br />j) i? i i..',i.:' <br /> <br />JOB ADDRESS <br /> <br />) f\ ,." <br />("' N, r. <br /> <br />LEGAL DESCRI.P'fION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />l r", . ..~ ~ ~\ ,,' <br />PARCEL I. D. t i~' ~ (f" ." ","; .. ' <br /> <br />c.') ,:' t~ "..' '\ ;_'! .:) ~J .;.... " <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction ----Addition ---Alteration ~epair -Llnstall <br /> <br />_Sign <br /> <br />-'love <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />-'l/F <br /> <br />_' of Units -'l/H <br />_Swi.. Pool vi Other <br /> <br />_ec-ercial <br /> <br />_lndu8t. <br /> <br />_Restaurant & Health Depart.ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />,"~ " -';" <br />/ " :~' " ,.. "'~ j, i.r .." <br /> <br />BUILDING SIZE: <br /> <br />r X I~, <br /> <br />...., ,', <br />..../ v! <br /> <br />I' f t: <br />~quare Feet, >, -" Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~o/ 'if a <br /> <br />PERMITS REOUESTED <br /> <br />LBUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'I1UCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-1IECllARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block -1:....Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIIUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />k <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BmlnER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />ELECTRICIAR COMPANY <br />State Cert. or Regist. t <br />SianAture City License Registration t <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />