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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LOT <br />OWNER · S NAKE <br /> <br />E r\\~v c. ( c1 <br />3q~o~ <br />SA n) .e- <br /> <br />rJDj'",,+<- Cbr~. <br />AfY\e..+"y5\+ W<<y <br /> <br />PHONE <br /> <br />7 f; tr ~ ~I '1 ~- <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ I ::;rs <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.1 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~epair ____Install <br /> <br />____Sign <br /> <br />-.Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Faaily <br /> <br />---1l1 F <br /> <br />____, of Units ---1l/H <br /> <br />____COIIIIlercial <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 />~ELEC'l'RICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <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 />FlHISHED 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 />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />:=:IAH~~~ COMPANY~~ a~rC/if <br />State Cert. or Regist. #1::--.s'OO()c61i <br />. e '^. J CJ2t'-!p City License Registration # ) g 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration , <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />