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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,1 if <br />tf'//~ . <br /> <br />OWNER'S NAME <br /> <br />It L-I Ct 0 G:S c f/R.YJ/EI2- <br />t ~I ~ 13& /I rfu J~'ro /) <br /> <br />, <br /> <br /><.~7C VL~ ()l-t~S'. <br /> <br />PHONE <br /> <br />i7/~ <br /> <br />( <br /> <br />606~ <br /> <br />OWNER'S ADDRESS <br /> <br />~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.# O:f ,;) c,.,.l. / IJJC/-o tJ()()uO {)050 (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall <br /> <br />____Sign <br /> <br />____Kove <br /> <br />____Demolish <br /> <br />PROPOSED USE: \.../'S ingle Faaily <br /> <br />_KIF <br /> <br />_* of Units _K/H <br /> <br />_CoaDercial <br /> <br />____Indust. <br /> <br />____Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: fi::. /1'v'5'/?H... '-- ,r '// D cSC R.E~--^/ <br /> <br />bJUC-'-OSJ~ ' <br /> <br />BUILDING SIZE: <br /> <br />c; X lu, <br /> <br />C;" 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 />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />~(J{) <br /> <br />c:'U <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 />_MECHAHICAL <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 />FDlISHED 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 />..,',.'.". ,.:::,:~~.,;:::~~ COMPANY c5'();JSTn-?-p:" <br /> <br />(.,,<<~ .' State Cert. or Regist. I <br />,L..:;-;;~~:-= City License Registration I <br />****************************************** <br /> <br />dCVlll'Uu'Y <br /> <br />Signature <br /> <br />7(! <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />Sianature City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration I <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 BYPERK1T OFPICER. <br />