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<br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />~ - m/t-IZT <br /> <br />PHONE -Zlo -938 - '-.so-S <br /> <br />OWNER'S ADDRESS 510c vJ BIG".. e.E.AuEr'L R-D <br />JOB ADDRESS 7422 ~u.... 6/vD <br /> <br />Tn-oi I rYll <br /> <br /><../ '6 0 'B "" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />. ~ z. S- 2 I 00 J o. 07 2.CO CO 10 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition V Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_K/F <br /> <br />_, of Units _K/H <br /> <br />~eo..ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: Af)o <:.cxx..-et2... CI/2..t2.urrs. <br /> <br />J2..e..LDCA-\E. 11\ \'Sc.... D/~'-AY<:; <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PWT 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 />-6"LEGTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />'6-^\S\\~ AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECBARICAL <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 />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />LECTRI IAN COMPANY Ho/Z/ZON E~ <br />:E:::::C~.L:1UeL f) - -- - <br />State Cert. or Regist. # ~7,r;;8. 1 <br />City License Registration # /9 0 ~ <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. # <br />Signature City License Registration , <br />*************~**************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />