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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.~ 11' <br />..,/10 <br />l <br /> <br />.. <br /> <br />OWNER'S NAME /Yl 0- ff- sf cJ "" (:? <br /> <br />OWNER'S ADDRESS Po, en yeS 10 <br /> <br />JOB ADDRESS 3 7,-/ q (vtf e /0 Y1 J 0 r . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE if/?) J 7 J. - Y979 <br />( I~rl- ~'A/r-<.-(~r-: ;-:: I S' Lf 6 I ~ <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />_Alteration _Repair lInstal1 <br /> <br />WORK PROPOSED:_New Construction _Addition <br /> <br /> _Sign _Move _Deaolish <br /> . <br />PROPOSED USE: _Single Faaily _KIF _' of Units _M/H <br /> _ec-ercial ....6..Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: lh'" /<. <br /> <br /> <br />BUILDING SIZE: X <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 />XMECBARlCAL <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ ~ q, q L.tl.f.. ,y b Va1.uation of Mechanical Installation <br />.. <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />'tYPE OF CONSTRUCTION: _Block _Fr8lle _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 />BIDIJ)RR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />F.T .RGTRlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />Sismature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br />Signature d2/ 8 fl.. <br /> <br />COMPANY {.";.. .,...4 ;) ~ l,j j 5 PlA/ If I;: CPVIt'J,..{ J >'v, . <br />State Cert. or Regist. t {'Mc4 J.. 3; f 5' ~ <br />City License Registration' 7' 7 '::/. <br />****************************************** <br /> <br />OTRRR <br /> <br />COMPANY Pc ({) "17/'/S- (JLV H l::-:!p'v"/J, -t frv, <br />/). ' / fi?, // State Cert. or Regist. t Pc Cj f!i S" <br />~~~ ~ City License Registration' ____ ~ <br />****************************************** . <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />