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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />J - ( 10 -n <br /> <br />"';"'"'- , <br /> <br />OWNER'S NAME .J 0 ~ ""- <br />OWNER'S ADDRESS G i If \..( <br />JOB ADDRESS C~ G~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.' 2 --LG -1~ - (; 0 L~ -(0 {,.Q; - 00 10 <br /> <br />Mo{~\ <br />P .Q (', ( L <br /> <br />2-(f{\l!) <br /> <br />PHONE ~I~ ~ '-1 .:s 7 .3 <br />fC-( ~3.Sy() <br /> <br />SUBDIVISIONt) Y-l-JWi ,rJX.. M WI <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration f---Repair ____Install <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Deaolish <br /> <br />. <br />PROPOSED USE: ____Single Fallily <br /> <br />_H/F <br /> <br />____, of Units f--H/H <br />_Swia. Pool ___Other <br /> <br />_eo..ercial <br /> <br />____Indust. <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: {\\l,\.l'\\1 r\.\Av,\ I2ct t=' -V0(~,,- (V\ () 0: ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <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 />YBUILDING <br /> <br />$-.J 913. ~2- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />'llPE OF CONSTRUGTION: ____Block ____Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS 'PROJEGT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIITT.DER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY A)/iAVll;.J !J1c);lx. ~JL Jvfin-;J <br />a -r State Cert. or Regist. t (j,....'<:-D !- 3 '17 7 <br />r:~ ~f I City License Registration t -s' 7 { <br />.......................................... <br /> <br />~ <br /> <br />Signature.______e- <br /> <br />RI.F.CTRICIAN COMPANY <br />State Cert. or Regist. f <br />SianAture City License Registration f <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />