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<br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME <br /> <br />tf 'n'1 <br /> <br />/J1o~K. (.1/ <br /> <br />PHONE 7.$$ - S-6 17 <br /> <br />OWNER' S ADDRESS S t; 2 Z <br /> <br />8'1)., <br /> <br />Sr <br /> <br />JOB ADDRESS <br /> <br />.5 .n W'\ L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' / /- z (; - 21 - 0010 - 12000 O(S; 3 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --1Uteration ~epair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----1J./ F <br /> <br />_' of Units ----1J./H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: I--srkJl/ J2 tt/i ~ {. <br /> <br />/t/L <br /> <br />, <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 />- <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ ~J 3tJO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIEClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLotIBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAfiORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT .DEll <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTRICIAR // <br />Sionature &L '---f C~___~ <br /> <br />COMPANY C~A.--LJE / / <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />d7.L <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />tlECllAHICAL - COMPANY 131'1 H If!. ~ h, jd.lf- ~ G A,.s' -e ~ .:r A./t:: . <br />/7/ / d ~ State Cert. or Regist: f CA~ 6'1:3 q ("II <br />Signature ~~~ ~ City License Registration # /7 <br />~ .......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />