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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />t) ( -7,'b . <br />I I ' fT <br /> <br />OWNER'S NAKE <br /> <br />~A/~~LL- hS77JA/ <br />5~/8" I(~ S/ <br />e/J7y6 <br /> <br />PHONE 7,((- d <br />I <br /> <br />cfl 7p <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br />0130 <br />o 0 10 037" 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~ddition ____Alteration ____Repair ____Install <br /> <br />PARCEL I.D.t <br /> <br />II <br /> <br />rAP c2-1 <br /> <br />WORK PROPOSED:____New Construction <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____S ingle Family <br /> <br />____M/F <br /> <br />____, of Units ____M/H <br /> <br />____C~ercial <br /> <br />____Indus t. <br /> <br />____Swia. Pool _Other <br /> <br />____Restaurant & Health DepartBent Approval <br /> <br />DESCRIPTION OF WORK: 70 ItJ S77f-c.-c <br /> <br />BUILDING SIZE: /;)- X I t(p, <br /> <br />Ii :J- <br /> <br />/o~/~ sU/-{J 5~I;ldlY ~ <br />/ <br />Square Feet, 7 Height <br /> <br />l;L'I~ U,/P6J/Te. ~p <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 />. .(ii.) <br />~~~ Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECBAlUCAL <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 />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />"'l COMPANY l~uV5 77t-re~ <br /> <br />State Cert. or Regist. , <br />~ if ~ City License Registration t <br />****************************************** <br /> <br />If-C-u If I ~ hi r <br />70 <br />, <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. f <br />SiQfiAture City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration I <br />*************~**************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />