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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />"9 .fa. <br />,.~ - J ;)-- - <br /> <br />OWNER' S ADDRESS <br /> <br />/,f 19 JI/ Je. <br />".2 tic) <br />SlimE <br /> <br />/)?/J /II' IYJ.5 r <br /> <br />)//HrYMLJ <br /> <br />PHONE (3/)-)7 8 ~ -0' 1) t;, <br />;Z G,P // y~ #4. L- > <br /> <br />OWNER t S NAKE <br /> <br />~T- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: /Single FOlily _H/F _' of Units V;;'H <br /> _~ercia1 _Indust. _Swta. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: 5'" c.~ te-/VcO f(t>OW1 Vi1 k,... fl\f. PDR.., - STEE/_ 8(,)1 IJIN~ (8'1- F) <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 />V<UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ ~c--o. c-0 <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _FrOle _Steel <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 />nUlLUB ~ ~ COMPANY <br />- State Cert. or Regist. , <br />Signature ~ t211A~ City License Registration' <br />v****************************************** <br /> <br />F.1.RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />***********~****************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />