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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />lOT <br />OWNER · S NAME <br /> <br />(~(JO a r- ~ <br />'")fi>. '3S0D d~Jl.L"--)<\.v <br />OWNER'S ADDRESS ~ I L- ~,J ~_~ <br />SAme <br /> <br />LEGAL DESCRIPTION: WT(S) 0 <br /> <br />PHONE <br /> <br />'7 8 fS - ~ I '-f ~ <br /> <br />:~ <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />____M/F <br /> <br />____' of Units ____M/H <br /> <br />____Coaaercial <br /> <br />____Indus t. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department 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 FORMS. <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 />~ELEC'fRICAL <br /> <br />100 <br /> <br />AKP Service <br /> <br />Florida Power corp. <br /> <br />W.R.E.c. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <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 <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />:::~~~'fr <br /> <br />, <br /> <br />/1~... /'~A 'd7" L /?/J' ~ <br />COMPANY)(~ u.~'" E- ~ <br /> <br />State cert. or Regist. 41 /:--j'OOOcc ,/ <br /> <br />City License Registration I J g 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. 41 <br />Signature City License Registration I <br />****************************************** <br /> <br />MECHANICAL cOMPANY <br />State Cert. or Regist. # <br />Signature city License Registration # <br />***********~****************************** <br /> <br />2.IIIER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />