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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />t? ? /l1.C <br />7ofO <br /> <br />PHONE <br /> <br />7ffO$P// <br /> <br />OWNER'S NAl1.E <br /> <br />6-#// <br /> <br />6' ?vcJ..l <br /> <br />JOB ADDRESS S~C <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -p-Addition ---.Alteration _Repair _Install <br /> <br />_Sign <br /> <br />----Kove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_ec-ercial <br /> <br />_lndust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health DepartJllent Approval <br /> <br />DESCRIPTION OF WORK: <br />').9 I <br />BUILDING SIZE: 16 . <br /> <br />C~I/~ <br />/9~' <br />X /6" , <br /> <br />?~~/ <br />Square Feet, /(J ~ <br /> <br />Height <br /> <br />PO? .Jj,~ <br /> <br />RESIDENTIAL : <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERH1TS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />",-- <br />Y)-fO ~ <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 />_l1.ECllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />#V~, <br /> <br />Other <br /> <br />TYPE OF CORSTRUCTIOR: _Block _Frue _Steel <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 />S1 ure <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~/C( $U~I1,V#4-f <br />State Cert. or Regist. t~iC;10..7f1-J." I <br />City License Registration t /d'~ <br />.......................................... <br /> <br />F.T .RCTRIClAN <br /> <br />COl1.PANY <br />State Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />SiQflAture <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COl1.PANY <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 />