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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />r <br />OWNER'S NAME //1/,C' yJ1rS sJ</J.. {I ~cs,. <br />OWNER'S ADDRESS .s 1'/ g/ 0 A Li'5> S A b.r 2~fJ...t/ 1-1,' ( -'_'<_ \' <br /> <br />PHONE Prs- 'lKr;- ?/(,pJ <br />FI 33sY1 <br /> <br />JOB ADDRESS U.-v ;+- h <br /> <br />/!,Idc; J~ <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />,.-.. <br />PARCEL LD.' 1.5- ;;;"~~/-DI7A - DlfdD-oo /'to <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: LSingle Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: t'..~bUS. ... :::r~S ......l,,~\.. t)..,) , r,,-k (.~.(" r f\...:>-<./s <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COtIKERCIAL <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 />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />C>4? <br />$ c2.3S"o .- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_MECllARICAI. <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />RIJTI.Dm COMPANY ~c., <br />~ J.- State Cert. or Regist. . <br />Signatur~ ./"--------..-:-- City License Registration' <br />****************************************** <br /> <br /> <br />RI.RGTRICIAN COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration t <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration' <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />