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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME <br /> <br />biLL ~L~ <br />?;>C(f,3o Cf/7I7JU'/ ~) <br />/ <br />Et1~ <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS 14 J <br /> <br />/J t<<.JV- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br />.2/ ()o()D <br /> <br />SUBDIVISION <br />c:l1/l0coBLU6 FROI\ PROPERTY T~ICBl <br />--Alteration _Repair _Install <br /> <br />PARCEL LD.# <br /> <br />2-.C( 2? <br /> <br />WORK PROPOSED:_New Construction _Addition <br /> <br />_Sign <br /> <br />-.Jfove <br /> <br />_Demolish <br /> <br />. <br />PROPOSED USE: _Single Family <br /> <br />-.Jf/F <br /> <br />_, of Units _M/H <br /> <br />_C0u8ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: y() I 1)5' ~ 11- A7rJc'It7JR <br />BUILDING SIZE: C:. X <;S'. [f^l: Square Feet. <br /> <br />b~~~ <br /> <br />~ //U). <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />. dO PERMITS REOUESTED <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical 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 />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ ~.:::? COIlPAIiY S' O.v ')' /'7<t-'rfl-. <br />P./ ,._---- ~~ State Cert. or Regist. # <br />\. -- -:-~ City License Registration' <br />l__-- -.......................................... <br /> <br />AH'AJ I( / /L/ () if <br />'76 <br /> <br />Signature <br /> <br />, - <br />,--.- <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />Si2Dature 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 t <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />