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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />:~LC!..O~ ~- /0~7~ <br /> <br />OIiIlER'S IIAIlI\ aAtJZ~ r;J cI !!f;;;$# ?!t:-doNE ; 9&;3 -//O? <br /> <br />OWNER'S ADDRESS ,,_ <br /> <br />--.3 9./t)Q -~~II a~_. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCIL.-SUBDIVISION Z <br />PARCEL 1.D.' /:<-,"210- ,2,J-()D3Q- 00-31/) -DtJ6UcOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Res-7ant & Health Departaent Approval . <br />DESCRIPTION OF WOPJ(I.~ -1- /:).'" / 2. ~,4... "rh.iiM 1 /f7f)/)d -<Ad; <br />o ~ 1~ hOo-n-- v <br />BUILDING SIZE: X . ./ Square Feet. Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_MECllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIJIIJlER ~ <br />Signature /ff-?<. <br /> <br />~C{OR SE~~ ) <br />2 COMPANY .. , ~L2v~ <br />~tate Gert. or Regist. t . <br />>> . City License Registration . <br />*****~***** *************************** <br /> <br />F.T .RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />,. <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />