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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S tWtE LJ ~ - "9 L. -<3 II! It c> tV <br />OWNER' S ADDRESS .:?9 2 Y V 6 r -4 /<l V' J <br /> <br />PHONE <br /> <br />b - /1 ~ ,r <br /> <br />JOB ADDRESS (" III......." t.. <br /> <br />LEGAL DESCRIPTION: IDT(S) <br /> <br />BLOCIL.-SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ---.Addition ---^lteration _Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />--.Jt/F _' of Units --.Jt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: Z,v..r.. // ~ tC/,..:..cC ~/c- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDEITIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLABS &: (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 />~UlLDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTlUCAL <br />~CllARlCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />2:JStJ. e> 0 <br /> <br />Valuation of Kechanical Installation <br /> <br />~tJMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FI.RISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BITJ:I.Da <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />R1.RCTRICIAI1 COMPANY ~ L ~A-Ie t:1 C>.z A-N ,th<1l-L C LL-C~ C 6JtJT. <br />/J /J /I State Cert. or Regist. . <br />SiDnAtur~~ ~/---/'-""L-t' (/( /,~q-G/ City License Registration' ::2- L/ cJ <br />.......................................... <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />MECIIAllICAL COMPANY & A It e ~ r'~ Q~h _ t: <5 " .s'.~ /f/.c .I N( . <br />/)/ /... / State Cert. or Regist. . C "Co 'Is '7 'I!? <br />Signature /L-- ~~ P --\. City License Registration' 7~ <br />- ~ .......................................... <br /> <br />OTRRR <br /> <br />APPLICAnON APPROVED BY <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />............................... <br /> <br />Signature <br /> <br />PERMIT OFFICER. <br />