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<br />.; . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />~ <br />~ <br /> <br />OWNER'S NAME <br /> <br />o Mt=:1l1l4\f0 L~61"()N <br />~Sl <br /> <br />Po)) \\~ <br />2e\?h t h",\ ls, FL-- <br /> <br />, <br /> <br />PHONE <br /> <br />'75-s- 700/ <br /> <br />OWNER'S ADDRESS 5 3Lt 6 <br />JOB ADDRESS c:; A VY\ E""" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration vRepair _:::::ins tall <br /> ____Sign ____Move ____De.olish <br />PROPOSED USE: ____Single Family _H/F _, of Units _H/H <br /> _COIIBercial _Indust. _Swim. Pool _Other <br /> <br />_____Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: m'~OtL- Elec:T([ .(IlL ~~ tvOV A Ii O'J <br /> <br />BUILDING SIZE: <br /> <br />x <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br />-LELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: ____Block ~r8lle ____Steel <br /> <br />SPECIALTY <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 />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />*..*..........*..*****..******* <br /> <br />Signature <br /> <br /> <br />ELECTRICIAN <br /> <br />COMPANY Q-s{ ~N /a-T IU e- <br />State Cert. or Regist. # Ef? QJO <br />City License Registration t <br />****************************************** <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KECHANICAL <br /> <br />COMPANY <br />State ~ert. or Regist. , <br />City Li~ense Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />