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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />('7 <br />J 1 ,,3"! <br />'jjfJ1J ')Js ~ "/7 <br /> <br />, . <br /> <br />OWNER'S ADDRESS <br /> <br />5c;{~ <br />5~315 <br /> <br />J. MUR.P~ <br />SIT2U:\ <br />ill.Q.\ <br /> <br />11I"t"-- <br />1(0 th <br /> <br />PHONE (&\~ ~lj. 03'+ I <br />· ~W\-\i(L\.l\LLS I FL 33540 <br />, t..~i~ILLS I tL ')3540 <br /> <br />, <br /> <br />LEGAL DESCRIPTION: LO;(S) ,~ ) \3 ~ \4 BLOCK 1~ SUBDIVISION <br />PARCEL I.D.' II. :;lCo'.;t\. 0010 'l~qO()'O\ac::> (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />TO~tIJ <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED:_New Construction _Addition ----.Alteration ~epair _Install <br /> <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: ~ingle F8Ilily _M/F _' of Units _M/B <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: (-'>Jml.lAll~ OF ~'f"AB fiQf'A.~C[ ON l"'KY'LlqR.~ ~6W\E <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Beight <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 />~UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ 3'fcxJ. cr= <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----KECHANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FDiISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIITI.DRR <br /> <br />CONTRACTOR SECTION <br /> <br />, COMPANY A A..\)~ hQ[P~ ~tit) S'VPP\.,I~INc... <br />~ ~~ State Cert. or Resist. t (~.. R <br />/~ , 'or' City License Registration . ;:J:2~{D <br />/ ...... ................................... <br />tI <br /> <br />/ <br />V <br /> <br />Signature <br /> <br />RI.RCTRICIAH <br /> <br />SianJlture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.....................................***** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />...........*.........*......*...........** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <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 />. ....; <br />...... ' <br /> <br />APPLICATION APPROVED BY <br /> <br />;(~ /. <br /> <br />.' PERKIT OFFICER. <br /> <br />)If!: ~.~.. .. <br />