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APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME lO. J-4. '- \ p +? r /.J ct , PHONE OWNER'S ADDRESS ~q<C~0 Ch"",c-e..y Roo.J\L~ JOB ADDRESS ~ me... A ~ A ~)V G. LEGAL DESCRIPTION: LOT(S) ~ ~ BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----^1teration ~epair ____Install ____Sign ~ove ____Deaolish PROPOSED USE: ____S ingle Family _H/F _' of Units ~/H ____COIIDercial _Indust. _Swilll. Pool ___Other ____Restaurant & Health Department Approva1 DESCRIPTION OF WORK: S.e LUe... r llAe..- BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction X-ELECTRlCAL laD AMP Service Florida Power Corp. W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Insta1lation - -XPLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUC'l'ION: ____Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION COMPANY State Cert. or Regist. f City License Registration . ~***~~~******************************** BUILDER Signature ~~ COMPAHY~ ~ r ~ . . % ~ S~ate Cert. or Regist. f eSOOoool;.1 . ~ C1ty License Registration' IC1 *************'**************************** Signature x ~.~). ~ COMPANY "~ State Cert. or Regist. t ~-7-..../{ City License Registration t * **************************************** PUIMBER OW I, -e..- MECHANICAL COMPANY State Cert. or Regist. t Signature City License Registration # ***********~****************************** OTHER COMPANY State Cert. or Regist. , Signature City License Registration , ****************************************** APPLICATION APPROVED BY PERMIT OFFICER.