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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.)_().V-77 <br />--::> <br /> <br />OWNER'S NAKE <br /> <br />t..oB~7 <br />f3S/;}-'f <br />.~ /1-ff e:.. <br /> <br />V IhJ PI!/:.. No 0 F <br />l() II(j I~ J>.e <br /> <br />PHONE <br /> <br />780- g~8'"b <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ---..Alteration _Repair _Install <br /> _Sign -.JIove _Deaolish <br /> .. <br />PROPOSED USE: _Single Faaily _KIF _, of Units _M/B <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: 7d ;AJs-Ttf-t..c ;3 If ~ g fAIV t'M FORT ~ CI'f ~ Il~D/\!r td.e~P <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />, L)-/ ~ <br /> <br />Square Feet, 9 <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 />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ t LI1 OlJ . on Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECH.AIU.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJEC'I' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'I'OR SECTION <br /> <br />BUIIJ)ER <br />Signature p~ ~ <br /> <br />COMPANY <br />~ ~ State Cert. or Regist. , <br />~ ~ City License Registration , <br />********* ~******************************* <br /> <br />(J{)JA../E-tZ <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SionJllture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />tlECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />***********~****************************** <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />*****.************************************ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />