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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER' 5 NAIIIl ;j 13/"0 li. "'7iy I1Z7?1 /"1/(,,: /Z "iZllrr PHONE <br />OWNER'S ADDRESS <br />JOB ADDRESS 10/'1/ 7Y115t:0ftj /Or:F7;G <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL 1.D.' .3 -;;ll,~.J / ...0/30 - ()()(X)O - 0"73D <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK(l,A.I(l~€7C.<~~s f61? '1>K2IVCiLil4--/; (ll'lr'Po,,"-'7/ 7/J77~...5i1EiJ 7?'k~~~tJIc51>JE((.?#(j( <br />, -.I--;Y frl5.€ /) 50 t. n: N 00 /77 <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />PERMITS REOUESTED <br /> <br />$ CJV5ZJ,OO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 />BUT I.DER _ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY "]3.t II /J/ tl50 III K(:v'-Ce-IJ l g" /Vr I N ~ <br />cIi &. k.- State Cert. or Regist. , <br />'(f p. City License Registration' ~ <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. t <br />SignAture City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />