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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />'JY)(s. Eve \y (\ Mey cd J <br />OWNER ':; ADD~S we) ~L\-- \ O\...\A'\ ~ <br />1o()~L\- t ~ ?5t~-D at <br /> <br />PHONE <br /> <br />~ I-?=>- f{~~ -3l<O~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />tLi'S on <br /> <br />PARCEL 1.D.' D~- 2(0- a\ - OC)~u- 00100- ~~.JO (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: XSiogle Faaily <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_lndust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant &: Health Departllent Approval <br /> <br />DESCRIPTION OF WORK. CD ~,~ UA....vO ~ t...2o.J.j <br />3 ~g --r <br />BUILDING SIZE: 1;L X 4--o,51lt, Square Feet, Height <br /> <br />\ . n <br />- () 0\ ~ wCfJ.)G <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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />\ OCi:) ':2.. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAlUCAL <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 />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Bl/IlJlER. WNTIIA'::':wrVO (d Co Yl ~~ <br /> <br />~~ State Cert. or Regist. . <br />Si e City License Registration' 33l.D <br />** ****** ******************************* <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />SionAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />