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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE 'uE~,.u C? o,;{.'/J <br />OWNER' S ADDRESS .dFc?~ ,t tire $..., ~T <br /> <br />PHONE 1 gcJ - '7.;/ / .(, <br /> <br />JOB ADDRESS <br /> <br />~/YJE <br /> <br />LEGAL DESCRIP'l'ION: LOT(S)/rq..OlO Ci-~i IS BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# 11-,;<t-oIl-~OIO-/%dOO - () 1% 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~New Construction ~ddition --Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_DeJlolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1I/F _, of Units ---"/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swi.. Pool LOther <br /> <br />~estaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: rfJ./l'/~Lf~- i.lJ-CcI_ k<A-~ f~ - <;<- ~~ <br />BUILDING SIZE: c? P X 3t:?, X q C:, Square Feet, ,~d f Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />LBUILDING <br />lELEC'l'RICAL <br />----"ECllANICAL <br />-LPLUHB~NG <br /> <br />rz~ <br /> <br />PERKITS REOUESTED <br /> <br />$ Ie <br />,;{ r?J <br /> <br />AItP Service <br /> <br />Valuation of Total Construction <br />'-/.... Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: -LBlock _Fraae _Steel <br /> <br />Other <br /> <br />F1RISHED FLOOR ELEVATIONS: <br /> <br />****************************************** <br /> <br />YES <br /> <br />'I--. <br />.....0.- <br />NO <br /> <br />Y1' . <br /> <br />IS PROJECT IR FLOOD ZONE AREA? <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY ~1.- <br />State Cert. or Regist. # <br />City License Registration # <br />*************************************** <br /> <br />Signature <br /> <br />:=~ <br /> <br />PLUMBER <br /> <br /> <br />. ~ OOHPARY ~~ <br />~ " State Cert. or Regist. # <br />~ ' ~City License Registration' <br />~ ............................................ <br /> <br />COMPANY tGr7t.1~ <br />State Cert. or Regist. # <br />City License Registration # <br />* **************************************** <br /> <br />Signature <br /> <br />KECHANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />