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<br />APPLICATION FOR PKRKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LI-fta -97' <br /> <br />OWNER'S NAME <br /> <br />tftJ <br />....;>~ tDJ <br /> <br />fY) 0 W EiC.. Y <br />cP z:d /9i/;E. <br /> <br />PHONE <br /> <br />'7rr~-b '1t:J if <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />S',!JmE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCR <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' /)-;2b ~.)./ -tJ~/f) - ItJlJo//- /)//0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____De.olish <br /> <br />/' . <br />PROPOSED USE: _Single Family <br /> <br />____H/F <br /> <br />____' of Units ____HIH <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />____Swia. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: CON C-~f:TL - ,SC;eL.f,u cR.tJO/ - ;eOtJF <br /> <br />BUILDING SIZE: <br /> <br />It X .JJ . .....'?fo6' <br />. <br /> <br />, <br /> <br />Square Feet. qnJJ'Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT 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 />~UILDING <br /> <br />PERHITS REOUESTED <br /> <br />$ <br /> <br />JLJ'// <br /> <br />Valuation of Total Construction <br /> <br />_ELEGTRlGAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGBANlGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtJHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block. ____Fr8lte _Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS 'PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUlLD~ <br /> <br />CONTRACTOR SECTION <br />.AL~' <br />~ COMPANY h'ttlM <br />. . ~ .10_, State Cert. or Regist.' ~::~b,p-O <br />~~~ City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />****************************************** <br /> <br />SiROature <br /> <br />PLUMBER <br /> <br />GOHPANr <br />State Cert. or Regist. # <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />KEGHANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />omF.R <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />