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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />M' <br /> <br />/ <br />:~ \ r <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />8 l""n-c':y"a J d <br />S~lc,0d- <br />SA- [1)c.- <br /> <br />(<-.0 <br /> <br />p[);",f-c.. COIf!- <br /> <br />PHONE <br /> <br />; 7 [ fr' - d-..t. 'f (- <br /> <br />LOT <br />OWNER'S NAME <br /> <br />OWNER'S ADDRESS <br /> <br />Am t::...-f- \f\ lJ' ~--r <br />, <br /> <br />L, ) c^- IE <br />, <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:L-New Construction ~ddition -fUteration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />_' of Units _M/H <br /> <br />_Comaercial <br /> <br />_Indust. <br /> <br />_SwiIB. Pool _Other <br /> <br />_Restaurant & Health Departaent 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 />~ELECTRICAL <br />---1IECBAHICAL <br /> <br />100 <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block. _Fraae _Steel <br /> <br />Other <br /> <br />PlNISBED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />~:::~;r$ <br /> <br />. <br /> <br />COMPANY~ t2a- ~ r ~ <br />State Cert. or Regist. f /:o-SO~ODt) 'I <br />City License Registration i ) € 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. i <br />Signature City License Registration i <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />