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<br />" . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME CmQi ((0 C.QJ1 fers I ()t!-. <br />) <br />OIlRER'S ADIlUSS f-1etChC1fl.tS q. - '1335 <br />JOB ADDRESS ~~5{) &(1) I 8lLJd. <br /> <br />PHONE [g 13) 'l83- 8 <-A 0 <br />Gail l3lud-Zepi7ljrhl//5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:----New Construction ~ddition ~lteration ----JRepair ____Install <br /> <br />~ign <br /> <br />---..Kove <br /> <br />-Deaolish <br /> <br />PROPOSED USE: ____Single Faaily <br />~ec-ercial <br /> <br />---..KIF _' of Units ---1f/B <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval . <br /> <br />DESCRlPTIDR OF IiORI<.ffi"iblJ ( (i) (PI X Jo I if rum. ~ <br /> <br />BUILDING SIZE: X Square Feet, Height 3(/ sg ~ ~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />V:UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />ClJ) , ()() <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1fECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />p:unSHED 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 />SillmJllture <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 />Signature <br /> <br />Oma <br /> <br />COMPANY Ai J.en <br />F.:? -1 ;:;p/ "- / State Cert. or Regist. , <br />D~cr-~~I...-..- City License Registration' <br />*****************..*******************.*** <br /> <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />