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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE . <br /> <br />Ycih I{et <br /> <br />C!!:'udrR <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />,Cr/g <br /> <br />Cc;;/ /J1&4 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition LAlteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FOlily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swta. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: re~-k ~1tt1dYl fJ(~"'rtl~ 10 Ovhlv t3v;U5 <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 />ffo~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'J"RlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br />~PLUHB~NG <br />TYPE OF CONSTRUC'l'ION: _Block _FrOle _Steel <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FlNISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'l'OR SECTION <br /> <br />BUTl.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT.RC'l'RlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Si'"1Ature <br /> <br />Signature <br /> <br /> <br />COMPANY Seo fI) ~Y(/lcrf <br />State Cert. or Regist. f C[.-CO Y'6l>OO <br />City License Registration' jqm <br />********************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <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 />