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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE YeT e V' IYJ, J11r+-r 7;;// <br />OWNER'S ADDRESS 3r?'?(J/ ~~LA Dr <br />JOB ADDRESS , '?<? 71'1 / ,/:1 ~ J.. p f)r <br /> <br />PHONE '}?,;J -~ J 7'7' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />.~ Jr''->> ~. <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction -X-Addition _Alteration _Repair _Install <br /> _Sign ---1Iove _Deaolish <br />PROPOSED USE: -2!...single F8Ilily ~M/F _' of Units _M/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />.c J <br />....,J t:: Y',c e ,'-" <br /> <br />:R CJ (J rr? <br /> <br />J I'J I X /'1/, <br />BUILDING SIZE: _!t:. .__ <br /> <br />/~ "/ Square Feet, '>',/ 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 />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlfICAL <br /> <br />$ <br /> <br />Valuation of flechanical 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 />CONTRACTOR SECTION <br /> <br />BUTI.DER <br />SignaturetJ?~./ <br /> <br />COMPANY <br />~, State Cert. or Regist. . <br />~ ~ City License Registration . <br />****************************************** <br /> <br />F.T .RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />***************************************..* <br /> <br />Signature <br /> <br />tlECBABICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />**************.*********************.....* <br /> <br />Signature <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />******.********...*****.********..*..***.* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />