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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />S'u~ <br /> <br />~ <br />~~&, <br /> <br />PHONE <br /> <br />/}e~ - ~)~t:, <br /> <br />0IilIER' S AIIDIIESS ~ ,/1 <br />JOB ADDRESS '-- '-II <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' 11.-:< h -;;;J -00/0 - O(()9(JO - 0/2> 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition -..Alteration bepair _Install <br /> <br />_Sign <br /> <br />--..Move <br /> <br />->>eJIOlish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />--..M/F _, of Units _K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-Restaurant Ii Health Departaent Approval <br />DESCRIPTION OF WORK:.J\ c.. - R BO f- a-v, ct ~ e. fa f (- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ~3 jOrOO <br />) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <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 _Freae _Steel <br /> <br />Other <br /> <br />PIIUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R~ _ COMPANY tJ-.rL <br />: .... /--- - /J. J.....State Cert. r Regist. f <br />Signa re .... ~ City License Registration f <br />***************************************** <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />