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<br />'" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />"EAST ./If.fC(J $~./t'A't tGIJ7t!:e <br />OWNER'S NAME .:Jt/,IV A1E,i)/(At. 'St//Lj}/A"t; <br /> <br />OWNER'S ADDRESS ?i6lJ 6},~ ~v.:P ~VM1/a.t;" 71 <br /> <br />t JOB ADDRESS ~9/f tlt1tL-- Bill? <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />, PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --A..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />Deaolish <br />- , <br /> <br />PROPOSED USE: _Single Faaily <br />Leo..ercial <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: \ ~ ~~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~ BUILDING <br />..LELEGTRICAL <br /> <br />~CAL <br /> <br />_PLUMBING <br /> <br />$ <br /> <br />/~/tFd. <br /> <br />Valuation of Total Construction <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 />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDiISHED FLOOR ELEVATIOBS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RITII.DER <br /> <br />CONTRACTgB s~ <br />~ =~ rt. or ~ ~~7816 <br /> <br />City License Registration' ~I <br />~ .' ****************************************** <br /> <br />/ <br /> <br />Signature <br /> <br />RT.RGTRICIAN COMPANY <br />State Cert. or Regist. , <br />SionAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature city License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />