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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ~0Jv\r.A.~ ~ <br />OWNER' S ADDRESS~ ~ 'd.. \ ~("'.A -^^!J (l) ).p A <br />JOB ADDRESS S~ <br /> <br />. <br /> <br />~ .l.J. ....e <br /> <br />PHONE 'l'7Q '00 s8 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION~ 0.... U J2.J2a dL- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL I.D.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeJBolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_ec-ercial <br /> <br />_lndust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: ~ - \'2...00 ~ <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />o( <br />t1 q ~ ~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECJ'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUC'l'IOR: _Block _FrUle _Steel <br /> <br />Other <br /> <br />FlRISHED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTIOr( <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />SiQ"flAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />KEGBANTCAI. <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />~ ~ COMPANY 7~c.- ~~ <br />'. . State Cert. Regist. # ~c. 0 I Cf <br />~, City License Registration # S4. <br />**************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />