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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ~ /'? T /- <br /> <br />STc> fllC- <br /> <br />OWNER'S ADDRESS fP 0 <br />JQB ADDRESS f!Il!t co <br /> <br />~oX <br />3 ?~/ <br /> <br />~). /0 <br /> <br />PHONE <br />c- 1:.- t!:. '?t'K' /.-V ~~ <br /> <br />~ Y~/r <br /> <br />C (-~'Ct..A~,6 <br />. <br /> <br />/)/C <br /> <br />LEGAL DESGRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t 2 ~ - .2 ~ ..21 J 9 q 2- - /6.1 ~ovr:L .r J (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction _Addition ---Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single FSIIily <br /> <br />_ec-ercial <br /> <br />---1t1 F <br />XIndust. <br /> <br />_, of Units _K/H <br /> <br />_Swia. Pool _Other <br /> <br />---Restaurant &: Health Departaent Approval <br /> <br />/ <br />DESGRIPTIOB OF WORK: ,~/ <br /> <br />c "y "'I",.v A / AI /( <br /> <br />r=- c- ....J C c-- <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 />ATTAGB (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COBSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />..", <br />/ 7.1 "-/:3,, <br />, <br /> <br />PERMITS REOUESTED <br /> <br />~ <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 />---1IECllAlllCAL <br /> <br />$ <br /> <br />Valuation of tlecbanical Installation <br /> <br />_PLUtlBING GAS ROOFING <br />TYPE OF GOBSTRUCTION: _Block _Fraae X-Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FlBISBED FLOOR ELEVAnOBS: <br /> <br />FT. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />Sml.DRR <br /> <br />GOtIPANY <br />State Cert. or Regist. t <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />RT.RGTRICIAB <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 , <br />.......................................... <br /> <br />Signature <br /> <br />IlECBANlCAL <br /> <br />COMPANY <br />State Gert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />COMPANY 2' E/Hy~ ;:e /V c... C <br />. <br />State Cert. or Regist. , <br />City License Registration t /7~ <br />........................ <br /> <br />Signature, <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />