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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME IJ~~ <br />OWNER'S ADDRESS 5"3 S- 0 <br />JOB ADDRESS S =:3 SO <br /> <br />/)~'~9fd.5. <br />~ r-h )( <br />f...-1 5'( <br /> <br />PHONE <br /> <br />f ( 3 - 7ft J1-1Do 9. <br /> <br />Z-J/i:ds <br />Z-IIit& <br /> <br />R :JySvo <br />H ~ 3S-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' l J-2~-2.J. c)oIO-/SS-OO-OtCfO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ~epair -5-Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: ~Single Faaily _M/F _' of Units _M/H <br /> _eo..ercial _Indust. _Swta. Pool ___Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: f"v$ r /t<A <br /> <br />I4(cl(f(eJ S7$~. <br /> <br />BUILDING SIZE: X <br /> <br />Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECHANICAL <br /> <br />$ <br /> <br />;l.. 7oS"~ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FIRISHED 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. . <br />City License Registration . <br />****************************************** <br /> <br />RIJTI.DER <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />RT .RCTRlCIAN <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />********************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY &/~ ~.(#~~ <br />State Cert. or Reg1st. t . 0 z..~" 7 <br />City License Registration' ~Q. Cl4r..Dy..",-,,~ <br />***************************************** . <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />.******************************.********** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />