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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />(~ <br /> <br />~ <br /> <br />, <br /> <br />PHONE <br /> <br />OWNER' S ADDRESS <br /> <br />1./1..7 <br />3cPS41 ~, <br /> <br />LEGAL DESCRIPTION: LOT(S) 13- /Lr <br /> <br />PARCEL 1.0.' // 2.. b :2 /00 /0 <br /> <br />JOB ADDRESS <br /> <br />BLOCK 2. Q '7 SUBDIVISION <br />.2. o? 0 t? 0 1.30 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____D eao I ish <br /> <br />PROPOSED USE: ____S ingle Family <br /> <br />----1i1 F <br /> <br />____, of Units ----1i/H <br /> <br />_C~ercial <br /> <br />_lndust. <br /> <br />_Swim. Pool ___Other <br /> <br />____Restaurant & Health Depart.ent Approval <br /> <br />DESCRIPTION OF WORK: <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 BUl.LDING 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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />-"EGHARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____FrDe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ~? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />************.***.*.***...**........***.... <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />Sianature City License Registration . <br />..******.*******.*****......*............. <br /> <br />PLUMBER COMPANY <br />State Cert. or Resist. . <br />Signature City License Registration , <br />................*......................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.*.**.*..*.*.*..****.**.*****.*.**..*..*.. <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />**..*.*....*.............................. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />