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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~Y"\P t.. lAJ"\,~ <br />OWNER'S ADDRESS 5 7 30 ~""~ S-t-r'ee..+- <br />JOB ADDRESS 5730 <i;tA S '" ree'" <br />c G s....~.... <br />LEGAL DESGRIP'l'ION: LOT(S) \ 'I ' I J v~ olZ,O BLOCK <br />PARCEL I.D.t--.ll'" "2 ~ ..."2,. (- ~ 4 - ,~ -I <1 <br /> <br />PHONE 7 <if 3'" 2:2. ~'t <br /> <br />~ L.{ SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK:~/;1 ~-/an. J~~pt.J--( t:t.cl. O~ort... . <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 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 />~MEGllANICAL <br /> <br />, ~ S~rv'ice Florida Power Corp. <br />S ~ - cr /50 Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />I' <br /> <br />CONTRACTOR SECTION <br /> <br />BITII.DRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />~= ~ ~ COMPANY"ttl~ E: ,.', ~0 <br />. , lAB. ~ '\ _ '"., State Cert. or Regist. ,-C; d <br />- ~ ~ City License Registration . ,237 - i;,Cd:. ' /2lf.(n <br />.......................................... <br /> <br />/' <br />D? <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />.. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />................................ <br /> <br /> <br />COMPANY 5 <br />State Cert. or Regist.' C. . <br />Signature City License Registration . <br />.......................................... <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />