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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAME <br /> <br />[0// flee! /lek/I- <br />(h/?~~ 5"~ <br /> <br />PHONE <br /> <br />/7,,1'0-- 77~~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION C"'!4 ~ //'9 ,,;{...--- A__< <br />&;C'oo <br />-- 0 0 Z /}; - c) (;; .5-0 C/ - BTAIN FROH PROPERTY TAX NOTICE) <br /> <br />PARCEL 1. D.' <br /> <br />WORK PROPOSED:_New Construction -Addition -...Alteration 'x"Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single FSIIily <br /> <br />_H/F <br /> <br />_' of Units ....2S:--H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: J1-e'pCI. /r ()q/l1t1~ec! 5r'J. ;~'1 j Akl/t'~, A 5'e<2 / <br />BUILDING SIZE: II X '1 J t t) 1 it Square Feet, % I 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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />J ,1D <br />7 <br /> <br />PERMITS REOUESTED <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 />-'lECHANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrSlle _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVATIONS: <br /> <br />F1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUTT .om <br /> <br />CONTRACTOR SECTION <br /> <br />) COIIPAIIY I 4L . <br />~ ~ State Cert. or Regist. . <br />;f~.{ City License Registration t <br />************ **************************** <br /> <br /> <br />Signature <br /> <br />F.1.RCTRIClAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />******-*****************************.,**** <br />,i ;. <br />."':;'... <br /> <br />Signature <br /> <br />.',>l\.,;~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERtJIT PFFICER. <br />