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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE C A If?. { L I ' V ( , / 'i IT. ' <br />OWNER'S ADDRESS (; I if 7 2071, .s 7: <br />JOB ADDRESS .s' ;q n--r ~ <br /> <br />PHONE <br /> <br />7<6'2-813/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _A1teration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />____Restaurant Ii Health Department Approval <br /> <br />DESCRIPTION OF WORK: ~ e. K 2 }( , s r / :.- <7 <br />/ <br /> <br />~/c. <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 Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />---1.dfECHANlCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ 2 '1eo. co <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 />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />*************.**.*****..************.***** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />*.**********************************.*.*.* <br /> <br />SiQfUllture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />*.*.**.****......****.*****.*****..**..*** <br /> <br />Signature <br /> <br />MECHANICAL <br />Signature ~ /,6"~ <br />~ <br /> <br />COMPANY ,L3 ~ 1-1 ~..I.s /' It..tJ 7",If,.... 'i. 6"1..5 .e.. #/2 <br />State Cert. or Regist. " C)l c: C v '59 ~c5"J ' <br />City License Registration' / '7 <br />************~***.*************.*.****.**** <br /> <br />.J: ;v c.. , <br /> <br />OTHER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />***************.****************.********. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />