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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME #rK ) Nrele:S 1/TTC.-- <br />OWNER'S ADDRESS ~ L <br />JOB ADDRESS IuM Z K,ctJ-==t 'ex- ' <br />LEGAL DESL'RIPTION: LOT(S) BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install <br /> <br />____Sign <br /> <br />---1Iove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single FaJIlily <br /> <br />____H/F <br /> <br />____' of Units ____H/H <br /> <br />____C~ercial <br /> <br />____Indus t. <br /> <br />____Swia. Pool _Other <br /> <br />Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: COt\<!..IrJ.-c-- S\g,k" <br /> <br />BUILDING SIZE: <br /> <br />x <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 />~ILDING <br /> <br />$ ~tJO ,00 <br /> <br />Valuation of Total Construction <br /> <br />~LEC'fR1CAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MECllAHIGAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'fION: ____Block ____Fraae ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Yr. <br /> <br />IS PROJEC'f IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRAC'fOR SECTION <br />a COMPANY ~t+ rnf\50 n It.i +- ('of'> vn ~~ \ h c.- . <br />. <br />State Cert. or Regist. , <br />A ~ ~ojK- City License Registration' Olt..e <br />.......................................... <br /> <br />BUIIJ)ER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SillnAture <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />.......................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />.......................................... <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />