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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHE--KUG'v1(1,~i'K, \N.iJ \'\ ~ VVj / KotJ,u ~ <br />OWNER'S ADDRESS 5~b~. J~lUJ (jrr'f-r ) Z~~); )J~) <br />ja VYl € <br /> <br />PHONE BI3hB~. 44-5~ <br />I <br />P1~ 33S-4u <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />}J.zt;. 7,J. aUlD. b7/o0D./)lsD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ..2:::-Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ngle Family <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_CoI8ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />8~'t ~ c\ <br /> <br />8 ~1' &:..f2uF- <br /> <br />(J~ <;1 <) <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHHERCIAL 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 />$ 2.,"6 BD. ~ <br />, <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 />_HECBMlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SiQnAture City License Registration t <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 , <br />*************~**************************** <br /> <br />OTRRR COMPANY lY\', \ t)nr(U'M~uctlU\1.1 ~~c_ <br />State Cert. or Regist.' R( l)/)t;h"'2.-\'~ <br />Signature City License Registration , '~-, <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />