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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S -- ~~.~ til!L <br /> <br />OWNER'S ADDRESS 1..?3 --';;.;;1- .;2:J 4L~-::I <br />~ <br /> <br />PHONE <br /> <br />7?~-3}J ?p <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units _M/H <br /> _ec-ercial _Indust. _Swia. Pool f.....45ther <br /> <br />_Restaurant &: Health Departaent Approval <br />IJ <br />DESCRIPTION OF WORK~d ...-- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL 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 />-1IEGllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF GORSTRUGTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES NO <br /> <br />...*....*.*..**.**.*..**..***.**********.* <br /> <br />COR TRACTOR SECTION <br /> <br />Signature <br /> <br />~ <br /> <br />GOMPARY <br />[; ~ State Cert. or Regist. . <br />. City License Registration f <br />**.**.....* *.********..**..************ <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />*....*..*.*..***.**********...**.********* <br /> <br />RUTT.DER <br /> <br />F.T .RGTRlCIAR <br /> <br />SiOOAture <br /> <br />GOMPARY <br />State Cert. or Regist. t <br />City License Registration t <br />...*.****.*******.******.*.*************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />.*.********~****.********.**************** <br /> <br />KECHANICAL <br /> <br />Signature <br /> <br />COMPARY <br />State Cert. or Regist. t <br />City License Registration t <br />.*.*.....*...***.*.*.******...*..*.****.*. <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />