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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />\/1t1 <br />:)'-3 <br /> <br />Ita ./.\ <br />1 ;' \ <br />OWNER' S NAME ,r; ./7 A..J:t:/ <br />OWNER' S ADDRESS ::<8 (f) t..f I ! Jl!r' <br />50>?'! (I <br /> <br />,... <br /> <br />JOB ADDRESS <br /> <br />,'! // <://~ PHONE 8/3-" 788-'j..Cf 6--5 <br />,rtl ~ l () Z ..~ L1 A J $ F ( a... <br />l Lt/V,-- <<,1:.J-fl J I Z {,t u..;J. ' /1 j <br />} /,/ - / I (' <br />l (. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D.' / j- 626 -.2J - 0 cJ / t/ - 6 St 0 () 0 - 0 / / 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />.. <br /> <br /> t <br />WORK PROPOSED:..J.....:..New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Move _D~lish <br />PROPOSED USE: _Single F~ily _M/F _' of Units _M/H <br /> _eo..ercial _Indust. ~ool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departllent Approval <br />, <br /> <br />+C I r i () '?J() i~J 'f? ' <br /> <br />r' <br />C' \...". ',,\ ". '" \.....rr""" <br />-....I --'-J ....c' (\ ~.N Ii \ J/lf, (1 \..., 0..' <br />ri <br /> <br />~uare Feet, <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />x <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 />~UlLDING <br /> <br />~. <br />C/ ~ <br />$ / 1 0)0 <br /> <br />PERMITS REOUESTED <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 />_MECHAlUCAL <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 _Fr~e _Steel Other <br /> <br />v <br /> <br />FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BIITIJ)ER <br /> <br /> <br />-'I :'\, \ <br />-~/ <br /> <br />Signature <br /> <br />CIlHPARY., I.t-;,!k ~ ~.TWeA-- <br />State Cert. or Regist. f <br />City License Registration f ,:) t9 h / <br />.. <br />***************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. Regist. f <br />City License Registration f <br />********************************* <br /> <br /> <br />v <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />************~***************************** <br /> <br />Signature <br /> <br />~ {..<.-<cr"" <br />OTHER <br /> <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License ReIt.iJ;tration' ;;2.0.? Y <br />*******....*.*..~~!:~*!!~~~p'~ <br />. i 1...,........"~,!I.,... ~iR'ii.. <br />PERMIT OFFICER. <br /> <br />v <br />