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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />J I / J- b -9 7 <br />J <br />J <br />? ~3- 7'19;), <br /> <br />OWNER'S NAKE <br /> <br />Loyer) fv\gnc--~e6kv <br />3X" DL/;;l. ~'riotj-c AVL_, <br />LJ; t) ~r5 M l+ pC(}- 1<- <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />\ <br />'--, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ---Alteration _Repair _Install <br /> _Sign _Nove _Deaolish <br />PROPOSED USE: ~ngle Faaiiy _N/F _' of Units _N/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK:~ ~i+ion - <br /> <br />BUILDING SIZE: ~x 1:<.. /00 Square Feet. 7 ~ '/ Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COKHERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />V;LECTRICAL <br /> <br />$ <br /> <br />oC <br />7.5D - Valuation of Total Construction <br /> <br />PERMITS REOUESTED <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlfICAL <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 />FIRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.***************************************** <br /> <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />HECHAtUCAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />************~***************************** <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.*..**.*.**..************.********........, <br />cf . c " <br /> <br />Signature <br /> <br />'!,. , <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />