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<br /> <br />OWNER'S NAKE <br /> <br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />CjCl~N' <br />~~,c:Y <br />d <br />SUBDIVISION E me r eel <br /> <br />W, to <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br /> <br />"iT <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: VNew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--.Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: V;ingle Faaily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Res~urant & ~lth Departaent Approval . . <br />DESCRIPTION OF WORK: 0e-c - t'kun b - ~ \ ec:t, \ c..., - A\ <2-. <br /> <br />BUILDING SIZE: I' x'3.S: ~square Feet, Height <br /> <br />o (\ ~V <br />~~ <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, 1\'( 3~ <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />PERMITS REOUESTED <br /> <br />V BUILDING <br /> <br />Valuation of Total Construction <br /> <br />........... ELECl'RICAL <br /> <br />AMP Service Florida Power Corp. <br /> <br />V:.R.E.C. <br /> <br />,/" KECllAlfICAL <br /> <br />$ <br />~i:ove <br />c"'/'"\ (~ <br /> <br />Valuation of Mechanical Installation <br /> <br />v"PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />ELECl'RICIAN <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />, / COMPANY hc>me fJwner <br /> <br />J;/ /' ~ State Cert. or Regist. . <br />t/'cdtl/r;;~l 'r7 City License Registration . <br />......, ................................ <br /> <br />t- COMPANY mO ( -\::0 n t \ E:CTr ; Q., <br /> <br />/1 -r lJ}'~ State Cert. or Regist. f <br />L/' City License Registration f '~I <br />.......................................... <br /> <br />BlJn.nER <br /> <br />Signaturex <br /> <br />PLUMBER <br /> <br /> <br />COMPANY hom P Ow ne:A <br /> <br />State Cert. or Regist. . <br />City License Registration f <br />..... .................................. <br /> <br />COMPANY homp OuJner <br /> <br />/d$ State Cert. or Regist. f <br />~/c:v--q City License Registration' <br />..... ,.................................. <br /> <br />Signature <br /> <br />MECHANICAL , <br /> <br />SignatureX I~~ <br /> <br />omRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />