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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~c.. (1.ofY\N\tSky <br /> <br />PHONE <br /> <br />tJ-A- <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />33 <br /> <br />BLOCK <br /> <br />SUBDIVISION 8Y1f-AA<j) <br /> <br />PARCEL I. D,' <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New construction _Addition _Alteration _Repair _Install <br /> _Sign _Kove _Deaolish <br /> .. <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />----Restaurant" Health Depart:aent APProVj . <br />DESCRIPTION OF WORK: C(JJ...X~L \dR\~ PM) <br />/ <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 />$ ~~ce/ <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 />~CllAllIGAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT, <br /> <br />IS PROJECt IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************.. <br /> <br /> <br /> <br />CONTRACtOR SECTION <br /> <br />roKPANY \}oL~ <br /> <br />State Cert. or Regist.' ~ ~ <br />City License Registration . <br />*....**..*...............**.**............ <br /> <br />RtJTLDER <br /> <br />Signature <br /> <br />SignAture <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />......*...**........*.***********..****..* <br /> <br />COMPANY <br />State Cert, or Regist. f <br />City License Registration . <br />.****.*.*..........*........**............ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />*.***..***.~*...........***.*............. <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert, or Regist. . <br />City License Registration t <br />*.*******.***.....**........**.*.......... <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />