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<br />... <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LOT <br />OWNER'S NAME <br /> <br />f ('(\ -c. r "- \ c.( <br />3,4<P0d-. <br />S C\ t"'<\ -e- <br /> <br />Pc: t--,;-<..- C Q r t<:), <br />~~'e.-t-klil'Sf 0('-.v <br />, ( <br /> <br />PHONE <br /> <br />! ....7 f r - ~ II{ ) <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />1~3 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />--1fove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Faaily <br /> <br />____KIF <br /> <br />____, of Units ____M/H <br /> <br />____Comaercial <br /> <br />____Indust. <br /> <br />____Swia. 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 /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELECTIUCAL <br /> <br />roo <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 GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel <br /> <br />Other <br /> <br />FI.NISHED 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 />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />=IAN~~~ COMPANY'f,.. C2a- Ct~ r eILzt; <br />State Cert. or Regist. # t:--S 0000" ,/ <br />ex. J 6V-w City License Registration ## J g 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. ## <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />