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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S _ - ~ <br />OWNER t S ADDRESS . <br />JOB ADDRESS <br />LEGAL DESCRIPTION: UlT(S)_~:2.. 1..,5.l'zlBUlCK SUBDIVISION~/: ~1~XJM;v <br />P~CEL 1.D.# ' / ' (OBTA~_ ~_ _'- _ <br /> <br />PHONE <br /> <br />Ycf.f/~~// <br /> <br />~~ <br /> <br />WORK PROPOSED:____New Construction ----Addition ~teration ~epair ____Install <br /> <br />_Sign <br /> <br />-..Jfove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Fuily <br />-1LCoIlaercial <br /> <br />---1l/F _, of Units ____M/H <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />P~~V/lW ~ -17?/q.tt 49';/~.(# z., r:.# /,/ ~R" /11/ f'.r /H IJpq 10.5 <br />$4V9~C~ DF ~7e/'/ -' .3~o~<1 <br />X Square Feet, Height --- <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />~ELECTRICAL <br />~CHAlUCAL <br /> <br />$ <br /> <br />Valuation of Total Construction <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 />~PLmmING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frue ____Steel <br /> <br />Other <br /> <br />FIHlSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? --2L <br />YES NO <br /> <br />****.*******************....********.***** <br /> <br />BUILDER <br /> <br />. CONUlACTOR SE~ <br /> <br />~ COMPANY ~ <br />~ State Ce t. 'or Regis".' ~.r~~l';' <br />City License Registration # ~~~ <br />~ . .......................................... . <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY 4?~ &~ <br />State Cert. or Regist~ # <br />City License Registration t ..2/ y <br />***.**..*******.*****.********.*********** <br /> <br />COMPANY ~ :i'f~ Wa <br />State Cert. Regi t. f' :P< D ~;2..,g <br />City License Registr tion # /~~ <br />..****.*.*.**.*****..***..**..*.*****..*** <br /> <br />ELECTRICIAN <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />MECHANICAL <br /> <br />.QIJIER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />.***.*..*.**.***************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />