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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />vY <br />!(}_-4Y ---7 ~ <br /> <br />OWNER'S NAME J(albvv. Aj~ <br />OIlIIEB.'S ADDIlES~ q ~ ,.ill IJv <br />JOB ADDRESS ~ t&,~ ~ <br />LEGAL DESCRIP'l'ION: LOT(S) c2 / BLOCK <br />PARCEL I.D.' lal c:l-?:'- ~/- H-~ ~- oZ.( <br /> <br />PHONE r; f f- I f It) <br /> <br />;y~ <br /> <br />SUBDIVISION SL.t(Yl,41~'" /~ {{ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-A..New Construction _Addition ---..Alteration -----Repair _Insta1l <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_K/F <br /> <br />_, of Units _K/H <br />_Swia. Pool LOther <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: ~ ~tl~}J~ <br />BUILDING SIZE: ~,~square Feet, S?J 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 REQUESTED <br /> <br />~UILDING <br /> <br />$ a) 000. " " <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"EClWiICAL <br /> <br />$ <br /> <br />Va1.uation of Mechanical Installation <br /> <br />_PLUKBIBG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUTUllm <br /> <br /> <br />CONTRACTOR SEC'l'19N <br />COMPANY ~4/t..P~v1 ) <br />.......... <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SignAture <br /> <br />PLllMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KECIL\lHCAL <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 t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />