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<br />OWNER · S NAME <br /> <br />".. <br />I;::m 1~1L1l (,0 <br />3 <1 (p '30 C W/i fl/c IE V <br />Sfrm€ LO T ~S'f <br /> <br />fJ 0 IIlJT(3. <br /> <br />0:9L/l ( PHONE <br />(LO, <br /> <br />~ ~"'" <br />i ~.., <br /> <br />1// ~~ <br /> <br />7fg - 2-( L} S- <br />ly2hL}v ~l'lll5 ,J:-(. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <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 _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_H/F <br /> <br />_* of Units _M/H <br /> <br />_CoB.ercial <br /> <br />_Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: (' () tV C!t I~ T C <br /> <br />SLAB <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 />_BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED ) <br />Valuation of Total con.truction,~~) <br />AMP Service Florida Power Corp. W.R.E.C. <br /> <br />____ELECTRICAL <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 _Fralle ____Steel <br /> <br />Other <br /> <br />FIlUSBED 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 /> <br />nc. <br /> <br />BUILDER <br /> <br />COMPANY r- <br />n ~(\ State Cert. or Regist. , <br />-r -'UI jf) I ~ City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. f <br />Sianature City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />************~***************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />