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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />:!F c9/~N;- / -J-) -7'( . <br /> <br />// <br />~~/??~.tft/ <br />t>" <br /> <br /> <br />PHONE 78~. M3t./ <br /> <br />OWNER t S ADDRESS <br /> <br />RI~hfJ(l,J d'", m/)~P-l.s <br />~/ .J 5 f<.o Y I- J- c1i~~Ji"-r <br />. <br /> <br />OWNER t S NAME <br /> <br />~ <br />JOB ADDRESS S,o 1'17 to <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />J <br />PARCEL I.D.' ~ - Jt~ ,)./- E - !l <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install <br />_Si8!l ---"ove _Deaolish <br />AJ.,f GR.,.fllJ N <br />. <br />PROPOSED USE: +Single Faaily _M/F _' of Units _K/H <br />_eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health DepartJllent Approval <br />DESCRIPTION OF WORK: -f !Js1t- L~ (, I--AS~ !AI dvjd()J.!: A N..P PR.-y W-IJ....L. Oq1'SIJJ/:'- WI't-J-:S <br />. <br /> <br />BUILDING SIZE: :30 I X 1 ,~7tJ Square Feet,S' 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 />-A-BUlLDING <br />-,2L.ELECI'RlCAL <br /> <br />$ <br /> <br />~tJb. (}b <br /> <br />Valuation of Total Construction <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 CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED 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 />BUILDER <br /> <br />COKPANY <br />!{ ~ ~ 'l'\\ . State Cert. or Regist. . <br />~ City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RToF.CTRICIAB62 . COMPANY <br />., C\.~ rl\ State Cert. or Regist. t <br />SianAture ~ or ~ City License Registration . <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. t <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />