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<br />. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />_'S_ ?/,!,/r'/A/.j ;;;:111< ~J ~,SO(+- <br />OWNER'S ADDRESS ()o..u' . J ~ e ~ -( L\ 0 (\ 0 W" -cf ) <br />JO~ ADDRESS '- ~9 ~ sO r:A.d-/1 0/ pJd , <br />LEGAL DESCRIP'llON: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' d~ -~fo"- JJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:...K.New Construction -.-.Addition -.-.Alteration ~epair _Install <br /> <br />_Sign <br /> <br />--Ifove <br /> <br />_Deaolish <br /> <br />PROPOSED~E: _S~eF_i~ <br /> <br />-"'F _' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: /:/('~ w< ;;'0/1, 1//--'1. '1-/,. 5, a (et,~..L ^) ~ Q 0..10 ~ f'-~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-.-JIEClWlICAL <br /> <br />$ <br /> <br />valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF <DNSTRUcnON: _B1oclt _Frate _Steel <br /> <br />Other <br /> <br />FIlIISBED FLOOR BLEVAfiONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COtIPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />BIJTT.DER <br /> <br />Signature <br /> <br />Sionature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RT .RCTRTCIAII <br /> <br />COMPANY <br />State Cert. or Regist.. , <br />City License Registration f <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />~ ' ,{ ~ roIIPA1lY-D,r g ~~ ";"1'-"<: <br />5::+ f" ~ State Cert, or Regist, ,'< ~.!:? rf .511 B <br />. <-- U I \--d:<-~ City License Registration f I '/7 t:? <br />. ....................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />