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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME S~r/ C!. S;;~;.~ <br />~ <br />d,v;; ~~~ <br /> <br />PHONE <br /> <br />8'1:1 '?/ So /)69 <br />'?f'~~ <br />- <br /> <br />OWNER'S ADDRESS . .~~ r a.... <;. <br />~ ~/?JA? <br /> <br />.;;;2~~' <br /> <br />~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S)j~ if /5'1 lA BLOCIV~/ SUBDIVISION <br />PARCEL 1.D.' /1 rOL.' ~/ 00/0 /~/r'YJ ~iJO (OBTAIN FROM PROPERTY TAX NOTICE) <br />. <br /> <br />WORK PROPOSED:_New Construction -Addition -Alteration _Repair _Install <br /> <br />_Sign <br /> <br />----1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: P A 1/ 0 J t.IU3 J <br /> <br />I I <br />BUILDING SIZE: J tJ X J J. . <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 />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlfICAL <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 />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />~ <br /> <br />COMPANY <br />~. , State Cert. or Regist. . <br />~, City License Registration' <br />***************************************** <br /> <br />Bu11.DER <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. f <br />SignAture City License Registration f <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />