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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKEJ:lO\.{ 0 lD <br />OWNER'S ADDRESS <:; l S 4 <br />JOB ADDRESS d~ <br /> <br />b.((! ~ ,~ <br />P..eou- l <br /> <br />PHONE <br /> <br />71S0-~2./7 <br /> <br /><sr- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION () A-UI cb <br /> <br />PARCEL I. D.' ~ -J.. b - ~ I - 00d- 0- 00 :SO- 061 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ---^lteration LRepair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />\. <br />---1I/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 /> <br />DESCRIPTION OF WORK: <br /> <br />fY\ &hlle <br /> <br />~ IY'<L {Coar -a.Je L <br /> <br />(,Ll I~rn ~1l/A.rY\ ') <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 />~LDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Ilf/~, - <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 />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**.********************.********.****.*.*. <br /> <br />BIJTl.DER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANYi!JcJaYlcJ lV1ob-lR. ~~-km S <br />State Cert. or Regist. . (' 6-C c> 3'177 <br />City License Registration . <br />**********...***.***************.*.***...* <br /> <br />Signature _____---e--. <br /> <br />F.T.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <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 />