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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Jif --10 - r-b <br /> <br />OWNER'S N~I\AW\~~~Vb 00 ( <br />OWNER' S ADDRESS 3 ~ 'K ~ ~ d v bhou->e: <br /> <br />Ov <br /> <br />PHONE '7 <(' 6' .- I v.s- <br />~~YV~J\/ I~ / R.- ,-=?~sS-'1 / <br />IC\.bv,-^<- <br /> <br />JOB ADDRESS <br /> <br />~/;vl <.. <br /> <br />t>1~ <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: KNew Construction _Addition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FOlily <br /> <br />_H/F <br /> <br />_' of Units _M/H <br />_Swta. Pool KOther <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />-b h ~C~ <br />-10 X {h, 10 0 Square Feet, <6 <br /> <br />Height <br /> <br />BUILDING SIZE: <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 />V BUILDING <br />iIi1.ELECTRICAL <br />,aMECHANlCAL $ <br />MlPLUMB~NG <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />S-OO Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />LFrOle _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />Other <br /> <br />FlNISHED 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 />BIITl.DER <br /> <br />Signature <br /> <br />r7-l---- <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />F.T.RC'l'RICIAN COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />