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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />/) m4 <br />/ <br />.F/.:?f .IN J/ ' <br /> <br />PHONE <br /> <br />'7 J- 'J- <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS S~C <br />LEGAL DESCRIPTION: LOT(S)~~zi;pJ#-f' BLOCK/.s7 SUBDIVISIONM/ {}fY <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition ----..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />~Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br />_Swia. Pool Lother~~~ <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~A.u4 <br />BUILDING SIZE: :)-J- X '1'- , <br /> <br />~ ~A- <br />'ZJO <br /> <br />~>ty <br /> <br />~ <br /> <br />~~~ <br /> <br />/ <br />Square Feet, r <br /> <br />Height <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 />$ !].J <.J 0 -- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />Al1.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAHlCAL <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 />FIlUSBED 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 />::z~--_....._..__.- ...- COl1.PANY ~~~ <br />State Cert. or Regist. , J<)'a;JJ~/ <br />City License Registration , /~~ <br />****************************************** / <br /> <br />RI.RCTR1CIAN COl1.PANY <br />State Cert. or Regist. f <br />SionAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COl1.PANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COl1.PANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COl1.PANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />