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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S <br /> <br />N~f'\-1\~N. <br />~~Q4- \ b'~ <br />~ <br /> <br />OWNER'S ADDRESS <br /> <br />St-~& <br />, <br /> <br />PHONE <br />~Q~\rt~\Lll <br /> <br />,,'5- O~S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />.:s~3>~ .tM"tt-* <br /> <br />PARCEL I.D.'-'\- "Z.b... 2.\- (J()\~ - z..\~ - ~'S~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -.Jddition ----^lteration _Repair _Install <br /> <br />_Sign <br /> <br />----1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----111 F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />, I S3~'~-4 <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 />_MECHABICAL $ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />-*-ROOFING SPECIALTY <br />_Fraae _Steel Other <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />FlRISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT.nER <br /> <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration <br />**************************************** <br /> <br />/ <br /> <br />Signature <br /> <br /> <br />::c:~ <br /> <br />/ COMPANY <br />State Cert. <br />"_."-, City License Registratio <br />;I' *~.**~*.******************************* <br /> <br />PLUMBER: <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registrat <br />************************************** <br /> <br /> <br />Signature <br /> <br />OTHRR <br /> <br />Q <br /> <br /> <br />COMPANY <br />State Cert. or Regist. <br />City License Registra on' <br />************************************* **** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY ~u... C~~~A <br />State Cert. or Regist.' f2.c.3lnL.4-~ <br />City License Registration # 2~ C <br />************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />