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<br />APPLICATION FOR PBRKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER.' S ADDRESS <br /> <br />)'1 yy <br /> <br />tI u'" J ff) <br /> <br />. <br /> <br />I '7 t-If ~rr <br /> <br />PHONE <br />ZII <br />, <br /> <br />/5'2r) <ffO_ <br />J.7 {_r-( () <br /> <br />OWNER. 'S NAME <br /> <br />"J L <br />~VO <br /> <br />,( . <br /> <br />II <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: WT(S) BLOCK <br />11 II "26.J- (60/0 oyro (JOO lr <br /> <br />SUBDIVISION <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: .J:::Single F8IIily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_ec-ercial Indust. _Swill. Pool _Other <br />_Restaurant & Health Departaent ~.>>~ <br />DESCRIPTION OF WORK: .'J-A.rk?{ ~~_~ UIr,l (C-~~5'l oa1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT 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'l"RICAL <br /> <br />bCIIANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />J: 7~) ~ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FlRISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTl.DRR <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration 1 <br />****************************************** <br /> <br />Signature <br /> <br />F.l.RCTRICIAB <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />SiQTlAture <br /> <br />PLUKBER. <br /> <br />COMPANY <br />State Cert. or Regist. , ~ <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br /> <br />KECHANICAL <br />Signature V <br /> <br /> <br />f W( (~/ <br /> <br />State Cert. or Regist. , <br />City License Registration , <br />************************************ <br /> <br />COMPANY <br /> <br /> <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />