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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~~ Itn"1 <br /> <br />OWNER'S ADDRESS Ie, 0 C{. 0 <br />~O '1-0 <br /> <br />IL <br /> <br />H-t'AJ f) c (t ~O A/ <br />I to TH S-r- <br />jealH ST <br /> <br />PHONE ~, ~ - ") rt -I 0 ~ I <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.'D~...:;lC~-al4t)IAD"ODOOO - O&::qO <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration ---.Jtepair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPl'ION OF WORK: <br /> <br />72- i:r <br /> <br />- <br />(loar- <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 />$ --.!., -7 i ~ . u-v <br /> <br />,," <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 />--JECllANICA.L <br /> <br />$ <br /> <br />Valuation of tlecbanical Installation <br /> <br />_PLUtlBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDITSHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION t.V c" "" c. K 1:" IU" P . <br /> <br />BUILDER [2 COKPARY J9. - I (2. 0 tJ F I IV c.o III c... <br />11 ~ State Cert. or Reaist. . e c. c o~7 3 ft:/ .....-- <br />Signatu~ ~ It City License Registration' _ < <.J X- <br />I ********** ******************************* <br /> <br />RT .RCTRICIAR COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration . <br />****************************************** <br /> <br />PLUtlBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />tlECllANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />