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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ~~ V4!EM6~L.6!!:?t) PHONE 7~-g~ <br />OIl\lER'S ADIlIl&'lS ~~ / .:;;~~/ 2t="r:'.#.eM'~Y'" .3g~ <br />JOB ADDRESS~t4mttP ".ps _~--'----. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.D.' d ~. ~5.2/. 0. <br /> <br />WORK PROPOSED :_New Construction <br /> <br /> <br />_Alteration _Repair ____Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />____C~ercial <br /> <br />_Indust. <br /> <br />_Swilll. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF ....RIt. Z5/ S?,FJ""' T?A {9"'~ ~ ~ Aoo/7/"tJ <br />BUILDING SIZE: Z I X I Z, 25 I Square Feet, 7 ~t'1eight <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 />____BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />"Z~ '? $ JI!S t:JIf!P 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 />_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 _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 />BUn.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />***************************** <br /> <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert, or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />SiQOature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*************~**************************** <br /> <br />Signature <br /> <br />OTl(F.R <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration' <br />****************************************~* c <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />