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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />It? -/--9-6 <br /> <br />OWNER'S NAMEJ )e\...Ui'(!) ^ <br />OWNER'S ADDRESS /8' / / ~ <br />JOB ADDRESS t:;CJ LjD 1Si- <br /> <br />L . M u. yS ~ PHONE <br />{/S. H ~1 4. I ; Lo'""t-- I ~ - 15 <br />5+ )-e q ( <br />/ D - A BWCK I~ SUBDIVISION <br /> <br />7//(J - /~ t!) U <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition -4Alteration _Repair ____Install <br /> _Sign ____Move _Deaolish <br />PROPOSED USE: ____S ingle F8Ilily ____H/F ____, of Units ____M/H <br /> _C~ercial _Indust. _Swia. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />I <br />ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SE <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />---.tL:\---- -"" <br /> <br />~:,;~~ ) <br /> <br />l i.Nc...rAJG / <br />ENERGY FORMs? t<J~ <br /> <br /> <br />DESCRIPTION OF WORK: en <br />,- <br />BUILDING SIZE: Ii{, ~'r x I D /, / l/ t; Square Feet, 7 Height <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING $ 1;0 0 c) #'00 Valuation of Total Construction <br />_ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. <br />_MECHANICAL $ Valuation of Mechanical Installation <br />_PLUMBING GAS ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: _Block ____Fralle _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 />BUTI.DER COMPANY G t"l~J U" "'-I <, 5 ""'--1f' \\ \'1 e , <br />State Cert. or Regist. , <br />City License Registration , <br />.................................. <br /> <br /> <br />ELEGTRlCIAN COMPANY <br />State Cert. or Regist. , <br />SiROAture City License Registration t <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. , <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 />