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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAl1.E l/rt p( 0 t- D <br />OWNER'S ADDRESS .?,f tf I 1 <br /> <br />rT Ft= ~ <br />.s rJ:{ ;7tJC ~ <br /> <br />PHONE <br /> <br />ltf:2 <br /> <br />.;J ft 7 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D. t / / - d- 6 - ~ /... t!J / lJ /- $/6 .... C 00 -/1ff OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair ,/' Install <br /> _Sign _Kove _DeJIOlish <br />PROPOSED USE: l..----"'Single Faaily _KIF _' of Units _K/H <br /> _ec-ercial _Indust. _Swia, Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: /1 t=-jJ L.4 C-b / 0 IJ, If} {)(;Jc.) -! f;:; .Doo~ J <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMl1.ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERl1.ITS REOUESTED <br /> <br />V"BUILDING <br /> <br />$ L.I d tTb < lJ7J <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 />-"ECllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIJTT.DER <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY J0JV~ ~Vc.IC ~cYJM I~VI'Vf <br />~ ~ State Cert. or Regist. , C. c. 0-1fj~? <br />. ~ City License Registration t /. <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COl1.PANY <br />State Cert. or Regist. # <br />City License Registration , <br />****************************************** <br /> <br />SiRnAture <br /> <br />PLUMBER <br /> <br />COl1.PANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />tlEGHANICAL <br /> <br />COl1.PANY <br />State Cert. or Regist. . <br />City License Registration * <br />****************************************** <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COl1.PANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERl1.IT OFFICER. <br />