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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />f:/fI(. L LeA-v / c{ <br />OWNER'S ADDRESS 3 9, :X) C~~V <br />0-4v r-2 ~ ~~ !}.Rh~ <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />7~';'6 <br /> <br />71 rJ ~ <br /> <br />~ <br />J6i'/!JY- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.t .2 <f ';Ub,:;L( IfMD ()O/OO ~ (OQ~IN FROII PROfJ:RTY T~TICEl <br />WORK PROPOSED:_New Construction _Addition --.Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swilll. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Department Approval <br /> <br />b \('3 /?eL 17?13 5'~ <br /> <br />77) (A:JS7)t-C...c <br /> <br />BUILDING SIZE: <br /> <br />b <br /> <br />x~ <br /> <br />'-f'<t <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 FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br /><6~ .cJ0 <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 />_HECHAHlGAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <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 />****************************************** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~~=--==~8 COMPANY 5' o,v 5'~ <br />/---~~,_/.. State Cert. or Regist. , <br />~/; ~-=--<....... City License Registration' <br />' ",,...-"- ****************************************** <br /> <br />A-u Qf / /lJ tJ I( <br />7(') <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />Si2nature City License Registration # <br />****************************************** <br /> <br />PLUMBER, COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration' <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />