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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE j)OftDff,y 19" El:Jni-tl J./oyth, PHONE <br />OWNER'S ADDRESS :J try /0 flft. A'/~ 7'f1P4>-,,i-fk- <br /> <br />JOB ADDRESS <br /> <br />~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL J.D.' <br /> <br />J;l. - J(, ~ 2/- o.J/tJ-CoooCJ- CR/6 <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single F8IIily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORKyflt,Al RooF ,5"~ I~, JL5 <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 />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ .....5" Y b I. tF"iJ Valuation of Total Construction <br />" <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KEGHANlCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />~LUKBING <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 COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration I <br />****************************************** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. * <br />SignAture City License Registration f <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration * <br />****************************************** <br /> <br />KEGHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration t <br />*************~**************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Re ist. # ~(~ <br />Signature City License Registration # <br />****************************************** <br /> <br /> <br />APPLICATION APPROVED , BY, PERMIT OFFICER.; <br />