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<br />.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAKE~1h~S CAePs. <br />fY'ALAc.~ IK <br />SAfYll- <br />4>~ <br /> <br />PHONE <br /> <br />JJ!A <br /> <br />OWNER'S ADDRESS <br /> <br />3~37 <br /> <br />.Q.~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~w Construction -.Addition _Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />____DeIIOlish <br /> <br />. <br />PROPOSED USE: ____Single Fallily <br /> <br />_M/F <br /> <br />____, of Units ____K/H <br /> <br />____eo-ercial <br /> <br />_Indust. <br /> <br />____Swia. Pool ___Other <br /> <br />____Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />f) f, l V'>: \.,J Ay <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERCIAL : <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 />/3 C!JO. dC-' <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 />--1IECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: ____Block ____Fralle ____Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />f)l/. COMPANY (fOL/) ct v'; I <br />" State Cert. or Regist. , <br />t ' City License Registration t / if ~<-~; <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRlCIAN COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />