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<br />. , <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />l )d/\i~~/ :~.: <br />... I. <br /> <br />,J . i <br />/;>iiifl ,': ~ <br /> <br />PHONE II?/ " <br /> <br />OWNER'S ADDRESS <br /> <br />"/'):. .:.. <br /> <br />~,~ <br />'j ~ <br /> <br />,/ <br /> <br />/ <br /> <br />/-,~ '"t":' }' '.' ._ <br /> <br />JOB ADDRESS <br /> <br />.~/)/}i -<. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' ,I l( - 2 h - 2- ; - 001 0 '" 'l q()O - OOJ .o( OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ddition ..L,tuteration _Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />____Sw~. Pool ___Other <br /> <br />_Restaurant &: Health Departaent Approval <br />,e) <br /> <br />DESCRIPTION OF WORK: k,..-r;/, /1.-1~"t,r/'- i <br /> <br />BUILDING SIZE: <br /> <br />x IJ , /i,i <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 />/C('(~( . <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 />____MECHAlfI.CAL <br /> <br />$ <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 ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />/ <br /> <br />Signature <br /> <br /> <br />COMPANY /:., /' / j,., (. / r'. r' /'- / <br />/' <br />',;: // /' State Cert. or Regist. # <br />1?/;CYf/t"'/ City License Registration t <br />****************************************** <br /> <br />6~~ <br /> <br />/' <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />