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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE K q:4-h.Q~(~ ~ H-OthSQV'"\ <br />Ab-A- T~ So T <br /> <br />PHONE <br /> <br />7[;2 - SCJ Slj <br /> <br />OWNER'S ADDRESS l, 2-0 I <br />~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.' Ol-a.b-d-. 1-00&.0-00300-0010 <br /> <br />SUBDIVISION CJI4-KSI ~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _A<!dition ----Alteration LRepair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />" <br />_M/F <br /> <br />_, of Units +M/H <br />_Swia. Pool _Other <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: m ctA l~ ~ e DO t=' -eVe:-<..... ( ,a..lul'h 1~(\o'1 J <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 />I/' BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ J LfJ7, --- <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 />--1IECllAlfICAL <br /> <br />$ <br /> <br />Valuation of flechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frye _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 />BUILDER <br />Signatur~ <br /> <br />CONTRACTOR SECTION <br /> <br />=~~~~~~{~ <br /> <br />~C?;~ City License Registration . <br />*.********.*...***...*...*******.*..*....* <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <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 />KECBABICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*****************.*****************..*...* <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*.*********.******************.**.****.*.* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />