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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />0/0'1 <br /> <br />/11;41 ~ <br />f~~~ <br />~~. ~T- <br /> <br />PHONE <br /> <br />OWNER · S NAME <br /> <br />ifFIV' <br /> <br />JOB ADDRESS <br /> <br />.0 /S" I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <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 />_Deaolish <br /> <br />PROPOSED USE: _Siogle Feaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PWT 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 />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CBAlUCAL <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 />FIRISBED 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 />RUTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />:.=:CI.AIf~ ' COMPANY~-i1P(tJ C/C/f/'/ff4-LL fr'?lFc?/e/'CJ;Le4,;JT. <br />, r" / /J /' .0 State Cert. or Regist. t <br />e ~ U4...ccq-a~/ City License Registration' 0 :;'~ <br />, ****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />HECBAlUGAL ___) ~ <br />.,.,.~,- /' <br /> <br />Signatur(:~' ,,/ <br /> <br /> <br />,7 ~ COMPANY <br />~./~./ S S~tate Cert. or Regist. # <br />~ty License Registration f <br />****************************************** <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 />