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<br />APPLICATION FOR PKRKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAH~€1btt\cl.. A; \J.eh~/e 1\1 ~ PHONE <br />?>~ s:I=, Z'"'~ k fl <br /> <br />~ A-Boue, <br />/ 2../ J- ).,,"4, , ~~ II <br />LEGAL DESCRIPTION: LOT(S) if ~2.LJ.J. BLOC~SUBDIVISION 2-tl(, /l!.ffIL{f <br />PARCEL I.D.' 11- ~ -2..-{ - f)tJ16 .- !kg-O .~/9tJ COBTAIN FROM PROPERTY TAX NOTICE) <br />. (JU , <br />WORK PROPOSED: ~ew constru~tion _Addition _Alteration _Repair _Install <br /> <br />OWNER'S ADDRESS <br /> <br />~4~ <br />Slhvte <br /> <br />C:Olj 7l0bJ<t1 <br />?1354-0 <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single FaJIlily <br /> <br />_H/F <br /> <br />_, of Units ____M/H <br />_Swim. Pool ~her <br /> <br />____COWBercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Department <br />DESCRIPTION OF WORK: ?4(VI9~ ~'C e. <br /> <br />Approval <br /> <br />JJ~J . <br /> <br />510 <br /> <br />~II/, 17 <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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />11'$7) <br /> <br />.,..... <br /> <br />Valuation of Total Construction <br /> <br />_ELECT'RlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER . <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*********************************.******** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.....*.*.......................*.......... <br /> <br />Sianature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <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 />COMPANY~ tJtbf1IA. <br />State Cert. or Regist. , <br />City License Registration , <br />.................................... <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />Q11IIR <br /> <br />APPLICATION <br /> <br />PERMIT OFFICER. <br />