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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME /f...... AJ..tltM J <br />- <br /> <br />OWNER'S ADDRESS _'5' q D '7 <br /> <br />m. httlJt;~ <br />~ --d~04r <br /> <br />PHONE '7 'if if - (, 3 D Lf <br />~:o L 7fk .3:sS Lf l) <br /> <br />JOB ADDRESS ~~ <br />LEGAL DESCRIPTION: LOT(S)203 9tIJ <br /> <br />BLOCK22300SUBDIVISION t7() j 0 <br /> <br />! / .-1: ) I ,.'") I, I') '7, .,' -. "I <br />PARCEL 1.D.' I . ,-!-'~.: ',~, i -UC j (j' IJ~ )/j( J ' 1..)/; ';< i <br />. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />, <br />_Repair XInstal1 <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign <br /> <br />_Move <br /> <br />_D~olish <br /> <br />PROPOSED USE: y" Single Faaily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />Restaurant &: Health Department <br />DESCRIPTION OF WORK: {nACre Ie. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Approval <br />( ) <br />iJrLtlefL/Aj' Iff. K ;JR' <br /> <br />Square Feet, 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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 1;1J6~'e2. <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 />_MECHAMICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _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 t <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. * <br />City License Registration # <br />****************************************** <br /> <br />Si~nature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHF.R (()lie rt;/e.. ;;11-[ v,11ftf/ ,f- COMPANY / :, :.," /;Q ",/(.>,,': ..,<: <br />Ii.- /1) ~ State Cert. 'or Regist. # P.l.S,~ ~~-i ~q ~'-' <br />Signature J"I. <//(;{j(J)Jj1'e k1IlJY\ City License Registration 41 l._ g _ <br />*** ************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />