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<br />. <br />, <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />L1~~~ ~n~ ?:~~ <br />rat tPh UB <br />/-)&, t (; ,: <br />ILfq <br />3,5. ~, <br /> <br />PHONE <br /> <br />'1%'6 - ~ 338' <br /> <br />OWNER'S NAMB <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />CfA;~;~~~~~f) <br /> <br />WORK PROPOSED: <br /> <br />LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION HI PI.,,:;- U;- / 141 <;;:: <br />ooo-/i.f..Cfo <br /> <br /> <br /> <br /> <br />_Addition <br /> <br />---Alt.erat.ion <br /> <br />_Repair _Inst.all <br /> <br />PROPOSED USE: <br /> <br />-~ <br /> <br />~ingle Faaily <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />_KIF <br /> <br />_' of Unit.s <br /> <br />_K/H <br /> <br />_<=<-ercial <br /> <br />_Indust.. <br /> <br />_Swia. Pool ___0 t.he r <br /> <br />DESCRIPTION OF WORK: ' <br /> <br />_Rest.aurant. & Healt.h Depart..ent. Approval <br /> <br />-5,^cd <br />8" X I () , 150 Square Feet., "7 I Height. <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~DING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />--::2. N () ~ t?~oSr-- <br />o f -, - Valuation of Tot.al Const.ruct.ion <br /> <br />_ELEC'I'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECIIAIUCAL <br /> <br />$ <br /> <br />Valuat.ion of Kechanical Installat.ion <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />t) I/J M; 11 0....... Ot.her <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _St.eel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BUILDER ~ COIIPANY ~~( ~ ./ <br />, L.L:J Stat.e Cert.. or Regist.. · <br />Signat.ure L ~ City License Regist.ration . <br />.......................................... <br /> <br />ELECTRICIAN COMPANY <br />St.at.e Cert.. or Regist.. t <br />SiRnat.ure Cit.y License Registrat.ion . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist.. . <br />Signature Cit.y License Regist.rat.ion t <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />Stat.e Cert.. or Regist.. f <br />Signat.ure Cit.y License Registration . <br />.......****.............*....*....*....... <br /> <br />OTRRR COMPANY <br />Stat.e Cert.. or Regist.. . <br />Signat.ure Cit.y License Registrat.ion f <br />............*......*....*................. <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />