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<br />APPLICATION FOR PERKIT <br />GITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE HmeYtc"ClJ') 1 eJI 6/1 <br />OWNER'S ADDRESS 53'/0 g+Vi ~ 5+ . <br />JOB ADDRESS 53'-/0 g+h &-. <br /> <br />PHONE <br /> <br />Zeph4Y j;,; / /5 . t:/a, <br />2efJhjrh,JIJ /" Flct <br /> <br />c=S 3,<;cf/ <br />3:3e;t.l1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARGEL I. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units --1I/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.G. <br /> <br />---1IEGBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUTT .DER <br /> <br />GONTRACTOR SEGTION <br /> <br />COMPANY leph'jl' mason VLj <br />() ~" State Gert. or Regist. f <br />fn.J/U .. l1JL Gity License Registration f <br />****************************************** <br /> <br />(!6VfShru.t -h~V\ <br /> <br />Signature <br /> <br />!J)? <br /> <br />F.T.RGTRIGIAN GOMPANY <br />State Gert. or Regist. f <br />SiDnAture Gity License Registration , <br />****************************************** <br /> <br />PLlJMBER COMPANY <br />State Gert. or Regist. f <br />Signature Gity License Registration f <br />****************************************** <br /> <br />MEGllANlGAL GOMPANY <br />State Gert. or Regist. f <br />Signature Gity License Registration , <br />****************************************** <br /> <br />OTRRR GOMPANY <br />State Gert. or Regist. f <br />Signature Gity License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFIGER. <br />