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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER I S ADDRESS <br /> <br />f("~nK <br />S9f.:.32> <br /> <br />\-\ =>n ~ ~ <br /> <br />PHONE <br /> <br />OWNER'S RAKE <br /> <br />JOB ADDRESS <br /> <br />~\'"\\ €- <br /> <br />AS <br /> <br />C_ h l\ '" -C!:. e r <br />A~L:>VlS <br />tt.. 11. <br /> <br />A~~J <br /> <br />it- 1q <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 ~ddition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />---1'l1 F <br /> <br />_, of Units _M/H <br /> <br />_CODlercial <br /> <br />_Indust. <br /> <br />_Swim. 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) 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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELEC'l'RICAL <br /> <br />I 00 AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />- <br /> <br />~PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fra.e _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 />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />******.****************.****.**...*....**. <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::::~~%~ 'COMPANY~~ r~ <br />State Cert. or Regist. , €SOOOOOb I <br />. City License Registration . /g 1 <br />*****************.************************ <br /> <br />rUftlBER 0 L..) ~ -e. COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />* ************************.*..**.**..****. <br /> <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />***********~*********.******************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />