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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Yflr4 /Jb~ <br />OWNER'S ADDRESS 8J~ 'Hci.lo~w Rv fEv---L l <br />ko1--rrcXl W~ -;:{rI!- ' <br /> <br />PHONE <br /> <br />7'8 ;; - ? 79'1 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_~ Construction ~ddition _Alteration <br /> <br />_Repair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br />~le <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swu.. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DPSCRIPTION OP WORK: jC,l-ft'-l1 ~fl1 Ll;a IJ~ - rill"",! J iUl,JOtP.5 <br />BUILDING SIZE: ,3D X g , CJif (;,) Square Feet, ~ 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 />v('UILDING <br /> <br />cU <br />$ ?J1> 70'- <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECfRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COBSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDIISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COHPANY 'tAh tS A-IlJlY\: IW ~ <br />State Cert. or Regist. t e.gco "(,077 <br />City License Registration t :J':5~ <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />****************************************** <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <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 />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />