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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE ~flc.~-!f)W <br />OWNER'S ADDRESS &. =-t-IJ. S:SC <br />JOB ADDRESS~, f~~w:-~ z;Jlt* 1M <br />LEGAL DESCRIPTION: LO~(S) ~..::zs-:z, BLO SUBDIVISION <br />PARCEL I.D.' If. 2{;,Z( <br /> <br /> <br />OWNER'S NAME <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ::%;teratton _Repair _Install <br /> _Sign _Move Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units _M/H <br /> _<=<-ercial _Indust. _Swi.-. Pool _Other <br /> <br />_Restaurant &: Health Department Approval <br />DESCRIPTION OF WORK:~U/\OkT1~ ~ <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 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 /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AttP 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 />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br /> <br />YES NO <br /> <br />.........*..*............................. <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />* ...*......****.*........***.*...*....... <br /> <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration , <br />......**.**.*.**.*.....***.***...********* <br /> <br />PLIDIBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.****.****..*********.***..******..*****.. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />*.*.........~*.*.......*...**...*.*.***..* <br /> <br />omRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />**..*....**.*............*...............* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />