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<br />"" <br /> <br />'. . <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME fJeLiJ/ CLhJ t:?onriCi.... .j00 e.-S PHONE lF8 - .<,R..3~ <br />OWNER'S ADDRESS fj'13 Lj I q fu S+'('-e_~~ 2~rhyr~ :lls FL I 3<.5-Ljo <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT(S){..u~ 5) t. ), ,q~LOCK "IS SUBDIVISION <br />PARCEL 1. D.' I J - d" . d J - 00 J () - 0 r..L1on - (> D bO (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition -^lteration _Repair /' Install <br /> <br />_Sign. <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: LSiogle Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: T" () S~ cJ I .\\{'\l" 6' \. .u onJ ~r\ t@(" rt. t _ fJ <br />BUILDING SIZE: X , ~() Square Feet,-LHeight <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 />_BUILDING <br /> <br />';:350. ()~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l"RICAL <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 />_PLtJMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcrION: _Block _FrDe _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 SeIPN- <br /> <br />BUILDER - ./' . COMPANY ~..P to-('~../) <br />~ ~ State Ger<. or Regist. . <br />Signature ... ... . , ~City License Registration' <br />*******~********************************* <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />Sim~ture 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 , <br />****************************************** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />