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<br />APPLICATION FOR PKRKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />I~G/t./C ::h'uv <br />73;J,;;", ,./ L~17D~~ <br /> <br />D <br />Dr-- <br /> <br />PHONE j7J' 3. :;'9~D <br />? jl~ F&, 3~S~<fo <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: WT(S) <br />PARCEL 1. D. t <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <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 />--1IEGIIAIilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />~ ~~ State Cert. or Regist. . <br />.. City License Registration' <br />. ....................................... <br /> <br />F.T .R.CTRlCIAN COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration * <br />.......................................... <br /> <br />PLIDmER. COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.......................................... <br /> <br />MECBARICAL COMPANY <br />State Cert. or Regist. * <br />Signature City License Registration , <br />............~............................. <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />APPLICATION APPROVED BY PKRKlT OFFICER. <br />