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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Ol/NER'S - f\ '~17 '"# /1 '!:1 e r PHONE ; &"1< - / 5'? 0 <br />OIllIER'S ADDREss l 6 '1 '. C" , R /) A V:' Z</,4 7---61 yr, F ~ 3 '} 5' '-( LJ <br />/7 ./;.0 V e. <br /> <br />5",. A--,.-~ ,r 5 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTIOR: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ngle FUlily <br /> <br />_KIF <br /> <br />_, of Units _M/H <br /> <br />_~ercial <br /> <br />_lndust. <br /> <br />_Swia. Pool _Other <br /> <br />____Resta~~t & Health Departaent Approval <br />~'- <br />DESCRIPTIOR OF WORK: If f' /?./-7 C P If t2 /T 1- ,,() V A-J ;CJ <br />( I ( <br />BUILDING SIZE: X Square Feet, Height <br /> <br />-> ~ 5h .~ <br />/ <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDIRG 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 />PERMITS REOUESTED <br /> <br />_BUILDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELEC'l"RICAL <br /> <br />V KECHAlUCAI. <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E,C. <br /> <br />$ <br /> <br />?-- <br />./ <br /> <br />o7e; <br /> <br />- <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block _FrUle _Steel <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 />BIITI.DER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />ELEC'l"RIClAN <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />SiQIIAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />KECHANICAL <br /> <br /> <br />COMPANY ,O/J t7 <br />State Cert. or Regist. f <br />City License Registration , <br />***********~****************************** <br /> <br /> <br />//?) <br /> <br />Signature <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER, <br />