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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />rk f'J.sO ,tJ <br />OWNER'S ADDRESS 3 ~ I Cf J r;ttA Av e ( 2("17 ~y fA l'{/~, p,___ <br />~ ~ (cr,( ~ Av~ / Z er ht, rIAJ!~, (:, <br />( <br />LEGAL DESCRIPTION: LOT(S) q ~ / 0 BLOCK (~7 SUBDIVISION <br />PARCEL 1. D. t I { - U ~)-I ~ 0 {/ I 0 - { 'J 100 -0 0 c; o.dI? (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration V'Repair _Install <br /> <br />OWNER'S NAME <br /> <br />So n,J <br /> <br />PHONE <br /> <br />-;7J ~ -C' ~ cf() <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br />_Swia. Pool VOther (}U ~c.. <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP 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 />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # ~ '7 d <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />Si~Ature City License Registration . <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. # <br />Signature City License Registration . <br />****************************************** <br /> <br />omRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />