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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OIlN8R'S _ (~/) 0-/1 ~/.fj (tu'W tV~ ;-"<1 PHO~E ,9.,07 - J'/,s- -8? / CJ <br />OWNER'S ADDRESS 5~3:J~ rIJ $C)K 7St- ~ ~ ~ /l'L. cJ)lc5t6--S- <br />, <br /> <br />JOB ADDRESS .$ 933.6 0-M At~- }--R;(ttI&r,JL.Li.J,~.-t. d-:3S-9o <br />, / <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~-Jr/y1 //a~it;;/ <br />PARCEL LD.' /,;).- d.C-a /- 00 f../ 0 ---OO;;{o()-orj3a (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />~ <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/B <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOR OF NORK, tc/~17 'If' d1MJ~~/ '70 6 'I L ""'14M <br />/ (/ <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />ffl# ~ /7 <br />" ~ d~dM <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />V <br />_BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />5ot..'J,00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS <br /> <br />ROOFING SPECIALTY <br />_Fr8lle _Steel -:P/~...~}4U~ Other / <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />I' <br /> <br />RunnER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY :1J1. if: 72u' ~>14t:1/J k- <br />State Cert. or Regist. . t2. <br />City License Registration . <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />SiQllAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />