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<br />OWNER'S NAKE ~ h #J <br />OWNER'S ADDRESS ~ ~ I ( <br />JOB ADDRESS ~ '-/ ;2.. ?- <br /> <br />P~L <br />iJ /9- I <br />bJU,L <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />A,;;;( irL PHONE ~ b . ') ~ I eo <br />glob ~/f, ~ :?5b Ie <br />I <br /> <br />/J t1./D '2..t.r'M,:yL/7c i4.t m s s -J." '-f 0 <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />t/' eo-ercial <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />, <br /> <br />DESCRIPTION OF WORK: //I.5t7J?L <br /> <br />Fo~ erYlZ.~~" m"r ~y~~rn <br />ON t-/7I?rlV) fJMIJ-U <br />X Square Feet, Height Ii> s i'OC-~ fJ..oo~ <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 />CO.N'fl1C- )'0 r2... S <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />PERMITS REOUESTED <br /> <br />BUILDING <br />~CTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlRISHED 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 />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />.........................~............. <br /> <br />COMPANY ~~ ~L <br />~ State Cert. or Regist. f t;.(L OO~~'-I <br />dO~ City License Registration f ~~. ~""'..rO <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br /> <br />ELECTRICIAN <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />OTHRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />