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<br />" <br /> <br />. " <br /> <br />. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ~1~ If1 f7 .5 (;:>--r J C l u e --r e. n <br />OWNER'S ADDRESS ! j ?J ?)O !-- t0n<-~,)1,f C1 i/~ <br />JOB ADDRESS .3?? I 0 J- Q.. n bilL. t C~ t/ e, <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL L D.' <br /> <br />_Sign <br /> <br />~ PlllU'~ TAll NOTICEI <br />~iUO . tera. --1lepeir _Inatall <br />---'love _Deaolish <br /> <br />WORK PROPOSED:_New Construction <br /> <br />_eo..ercial <br /> <br />~- <br /> <br />_Indust. <br /> <br />_, of Units _K/H <br /> <br />PROPOSED USE: VSingle Fu.ily <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />. - ~IST P <br />DESCRIPTION OF WORK: S eye e i? f~d ~ ti~~(!".t _ <br /> <br />BUILDING SIZE: / ~ X / ~. ~ / /;. Square Feet. 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 FORMS. <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 />---'lECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanical 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 />FIliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER / <br />Sigoat~.fW <br /> <br />~NTBAcrOA SB~ ) <br /> <br />/ i . COMPANY -- - ~ LH' ~ >711-1 <br />/0 . -~ State Cert. or Regist. . <br />1JU7_<<uc.k:~ City License Registration I <br />****************************************** <br /> <br />RI.RGTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SianAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration I <br />***********~****************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />