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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S IIAIlIl 3 -~ ~o.I r J;,.. ir~jlRBON~ <br />OWNER'S ADDRESS .3c13~ 10 ~ t). <br />S~p_ <br /> <br />76"-:3' - -:53 c6 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' f:? -.:<.b-dJ -0000- &o/OD -- Oot I (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ----Alteration #epair _Install <br /> <br />_Sign <br /> <br />--.-Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--.-KIF _' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant Ii: Hea1th Departaent Approval <br />DESCRIPTION OF WORK:--!\ e -lR'tJO+ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESTI>EBTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR AL'L NEW CONSTRUCTION. <br /> <br />~i f 5D. l.i) <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDIHG <br /> <br />$- <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1fECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS t/ ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <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 Licen5e Registration ~ <br />****************************************** <br /> <br />Signature <br /> <br />ELEC'fRICIAB <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SiRlUlture <br /> <br />PLUMBER <br /> <br />COMPANY <br />5tace Ge~t. or Regist. ~ <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration * <br />. . .' ..... *************************~***********~~***R. ~ . :C-JW~. <br /> <br />OTHER . ' " COMPANY ~l .=. " <br />. 1.//;J. 1. .~/ . , &tate Cert. or Regist. t . ~ . <br />Signatur~~ .... . . -. City License Registration # ~. ~ <br />.'. .' . . ** **************'k l********************** /"' ' <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />