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<br />OWNER'S ~Nl <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUI DEPARTMENT <br /> <br />(J~ Wt1''ls'" <br />PHON~I s- a()S~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.fO~-~ f0( - Ooc;()- ~ COA Q. (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction v"Addition ---Alteration _Repair _Install <br /> <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FUlily <br /> <br />_KIF <br /> <br />_' of Units _K/B <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />____lestaurant & Health Depar~roval <br />DESCRIPTION OF WORK:M~ng cYA~ 1.11 rS)(y) <(o <br />BUILDING SIZE: ~x 7.~ Square Feet, Beight <br /> <br />Qtr tt~ &JflCA.it.Q <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$~7['i)~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAllIGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 /> <br />COfITRA=ABY SEC:rl~ ()(. J Coo ~tVi tM- <br /> <br />State Cert. or Regist. f <br />ity License Registration' ,~ <br />.... ................*****.*. <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />SianAture City License Registration , <br />........*.*...***.*.*.*.*....*...********* <br /> <br />PLUKBER. COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.*.......********************************. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />**..*..*...*.*******..**..*..*.*********** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.*.*..*..***.*****.*****.*.*.**.*******.*. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />