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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHE-itJ f'- \ Qa Y\^. \ e r- <br />OWNER'S ADDRESS ~l 5'2- l~ -tlA. ~T <br />JOB ADDRESS .::; c?\ V1r...Q <br /> <br />PHONE 7~K '2 SIc... <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: t.../Single Faaily _KIF _' of Units _K/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br />DESCRIPTION OF WORK:---H-- <:. c k~V\~ <€'cQ<...)~ <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERtlITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~KEGllANICAI. <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~ 0 no. 0 <:Valuation of Kechanical Installation <br /> <br />_PLuttBING <br /> <br />GAS <br /> <br />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 />****************************************** <br /> <br />YES NO <br /> <br />, ,. <br /> <br />CONTRACTOR SECTION <br /> <br />BlJTT.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />F.T .RCTRIClAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />SismAture <br /> <br />PLuttBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />HECBARI~ <br />Signature 760 <br /> <br />COMPANY -'--0 C c P9 - C. I v1 c , <br />~ State Cert. or Regist. " C'-14Cj ~~cr <br />City License Registration , ~ <br />****************************************** <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />