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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />c(J1t t/ ( () U / UJVG <br />~S-OO blZeiC/Twoa I) <br />9/ltb <br /> <br />PHONE <br /> <br />7~~ <br /> <br />6) ;?() <br /> <br />OWNER'S ADDRESS <br /> <br />~e <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION 5 ('-iI €I!. 8~"3 <br />(J/OO <br /> <br />PARCEL 1. D. t <br /> <br />re> <br /> <br /> <br />00 <br /> <br /> <br />WORK PROPOSED:_New Construction <br /> <br />--^iteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--.Jt/F <br /> <br />_, of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant Ii Health Departaent Approval <br /> <br />SC~ ~11 <br /> <br />c:-r () <br />()-x Ie.. . <br /> <br />~ /J 5 n9-u:.... <br /> <br />(;;t'f-(b <br /> <br />~ ("OftPi5'~TI: <br />/4trJt= <br /> <br />BUILDING SIZE: <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />(e:, Iff 'ct <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP 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 />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY S ()/J 5TJH E!- <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />/l-{"ulf / /f})1f ;Z;; C-/ <br />T.::r vv <br />. <br /> <br />Signature <br /> <br />RT.RCTRIClAN COMPANY <br />State Cert. or Regist. t <br />SionAture City License Registration t <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 t <br />****************************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />