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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME !f4r,6,qr/9 <br />OWNER'S ADDRESS :;1> ~ _ok; <br /> <br />jf t-{ J" A/ r::-7/- <br />~J a~&/ J/ <br /> <br />PHONE 7gj!-;? 3;(3 <br /> <br />-<e-~A -v-r .-I,' /6 <br />, ./ <br /> <br />/;;t, <br /> <br />'".? ~r yC) <br />- <br /> <br />JOB ADDRESS ) If, L/7 <br /> <br />.R 3 '--'f.( .;7, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />.." <br /> <br />WORK PROPOSED:_New Construction ____Addition ____Alteration -K.Repair ____Install <br /> " <br /> _Sign ____Hove _Deaolish <br /> -X-Single . <br />PROPOSED USE: Family ____H/F ____, of Units _K/H <br /> . ~. <br /> ____~ercial _Indust. ____Swia . Pool ___Other <br /> <br />_____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~ <br />, <br /> <br />d- .I? e. /'00 r: <br />A~oo Square Feet, <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PWT 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 />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____KECHANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_____PLUMBING <br /> <br />GAS <br /> <br />.x ROOFING <br /> <br />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 />CONTRACTOR SECTION <br /> <br />Bun.DO <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />KECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br /> <br />COMPANY !~''f' 1& ~OtJIL~ <br />State Cert. or Regist.' f C ()t') :( S .5-/S <br />City License Registration f .1 80 <br />.......................................... <br /> <br />OTRF.R <br /> <br />PERMIT OFFICER. <br />