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<br />/1 v-q 1'1 \0. <br />GO;;' <! <br />SIr; <br /> <br />APPLICATIUN' FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER' S NAKE <br /> <br />!- ~~ Vi--t <br />~-n't-ff ~T <br /> <br />PHONE <br /> <br />71 :2- <br /> <br />0.5..-06' <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />PARCEL 1. D. t <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />~r'/ <br /> <br />/5- <br /> <br />BLOCK SUBDIVISION <br />~ /" ~ -;;26 -Q../ <br />)- (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration -Repair _Install <br /> <br />_Sign <br /> <br />----Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: KSingle Faaily <br /> <br />_H/F <br /> <br />_' of Units ----1f/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />-Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />/~ )<' <br /> <br />:L f 3~ E;-LJ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />AtTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY PORMS. <br />AtTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />____BUILDING $ <br />-X-ELEGTlUCALe~ <br />----"EGIIAlIICAL $ <br /> <br />$/$U'{/; <br /> <br />PERMITS REQUESTED <br /> <br />}O/) <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />P<. Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Hechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Praae _Steel <br /> <br />Other <br /> <br />.......................................... <br /> <br />YES <br /> <br />;& <br />NO <br /> <br />FIIUSHED FLOOR ELEVATIONS: <br /> <br />Fl' . <br /> <br />IS PROJECl IN FLOOD ZONE AREA., <br /> <br />BUILDER <br /> <br /> <br />CO'l1lAC'l'QII SEC:1I~l <br /> <br />GOtIPANY . <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br />I <br /> <br />RT.RGTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />SiQllAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />tlEGBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <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 />