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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE Rol-Jert c. 31ann <br /> <br />PHONE (P 1 3) 7 R 3 -;) 71+0 <br /> <br />OWNER'S ADDRESS 37132 F'oxrlln Place, Zephyrhills, F'Y 33541 <br /> <br />JOB ADDRESS Sa 1"'1 e <br /> <br />LEGAL DESCRIPTION: LOT(S) 40 BLOCK <br />PARCEL LD.' c"))-26-21-0 120-00000-0400 <br /> <br />SUBDIVISION ~ i 1 IT erG a 1< s <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: 2-Single FOlily _H/F _' of UnUs _M/H <br /> _ec-ercial _Indust. _Swia. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: Install ,,,indows in openings of present screen porch. <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 />-LBUILDING <br /> <br />$~ 1 , 000 <br /> <br />Valuation of Total Construction <br /> <br />-2-ELEC'J'RICAL <br /> <br />AMP Service <br /> <br />.,r <br />h <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <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 />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br />Signature /~ c:: ~ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />=L\R ~ANY'L.-l"\'U-""> e'-f~\ .. <br />ate Cert. or Regis t.' 0 0 d ;:l-. t G k- <br />m _ e ~ City License Registration t OZ'"' <br />** **** ** ****************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration' <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />