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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE '5 UN /tilED I C A L CtSZ /01 r e ^ <br /> <br />PHONE g 13 - 7 g;2- - '"3 'f J? R <br /> <br />OWNER'S ADDRESS b 7 I? (S!.. /1 A J:.... 186 <..s L J5 f/ /I ~ 0 .2 ~p I1"V R If I L '- ~ r~ '"33S7b <br /> <br />JOB ADDRESS <br /> <br />-5fiA1 ~ <br /> <br />LEGAL DESCRlYfION: I.OT(S) BLOCK SUBDIVISION <br />PARCEL LD.' 03rd.\o-0l\-f\D\G-0330D-OO\O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition V--Alteration _Repair _Install <br /> _Sign -"ove _Deaolish <br />PROPOSED USE: _Single Family _M/F _' of Units _M/H <br /> ~~ercial _Indust. ____Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIYfION OF WORK: f\,€ L 0 C,rl -rtC <br /> <br />o i'lL L 5 ;9-1'>"0 C;"',e;/ Nd rS J4~ tfb-R. ~;'~TC# <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Beight <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 />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />cc.. <br />$6c-d6 - <br /> <br />Valuation of Total Construction <br /> <br />-2S-ELECTRICAL <br />_HECBARICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.2S.....PI.UMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />R <br /> <br /> <br />Signature <br /> <br />\~ <br /> <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />************************************** <br /> <br />dL <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY cJbL 1'(' ~ <br />Si~Ature dA. ~ ~ J /------, State Cert. or Regist. . 6'6(J 0 7/1 <br />__~___ ~ 7\ ~ City License Registration' ciJ..;2- <br />****************************************** <br /> <br />PLUMBER <br />Signature at?" <br /> <br />... <br /> <br />COMPANY /l ~ C. ~ .6/~'~ <br />a State Cert. or Regist. t - <br />A'A~_____ City License Registration t ~'7 <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />