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<br />. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ar( ~WlaS <br /> <br />h631 ~n/~tf. <br />".-:- . ~,.P- <br />JOB ADDRESS (1 ~ "3 7 J u n l fJP r (A. <br />( <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I.D.' 02--- U. 'l....1- 01-10'" 0 DODO" /1--3 D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair LInstall <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />;7 f?JS #qq/8 <br /> <br />OWNER'S ADDRESS <br /> <br />_Sign <br /> <br />-'love <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: ___Si~leF~ily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: j)lttr ~ ~ 10 W/.:u IJ1fcf dvifJ I'rt/! ohtvA 8ta/krs <br />I <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 />COMMERCIAL: 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 />V ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-lIECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr~e _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..........................*.************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJII.DER COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />URCTRICIAII COHPAIIY Pn~ m(ff~ <br />::::-~ ~ State Cert. or Regist. . OOI'/SS" <br />:ii ' ~- City License Registration . 2L S- z., <br />/ ** *************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />***********************.****************** <br /> <br />Signature <br /> <br />IlECBARICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****.****.**.*.*************.*.*********** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration # <br />**.***.***.***************.*************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />