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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />0\112" <br /> <br />SAN~ Lu-n-\\.-'12 A~ (rWteLt-r PHONE gl~) 7Sz. I:')h ~ <br />2\ <:,"f ~ lr t./:A Z. e.~)1'1f n'\ \( ~ <br /> <br />3354- U <br /> <br />OWNER'S ADDRESS <br /> <br />'4..p2r;;, <br />~&vY1-L <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.t \7. 2 (~ . 2. \. l.)01...\J. (')04-Do. D\) () (oBTAIN FROM PROPERTY TAX. NOTICE) <br />R.t.. ~u~ <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ~epair ____Install <br /> <br />____Sign <br /> <br />----1Iove <br /> <br />____D~olish <br /> <br />PROPOSED USE: ____S ingle Family <br /> <br />____M/F <br /> <br />____, of Units ____M/H <br /> <br />____eo..ercial <br /> <br />____Indust. <br /> <br />____Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />~Restaurant & Health Departaent Approval <br />en <br /> <br /><;(\\,n. h <br />1 <br /> <br />R~ - ~I,)~~ <br /> <br />~~) <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 />/~~ <br /> <br />____HECBAlfICAL <br /> <br />- '\ <br />$ ~11, ~~~ice Valuation of Total Construction <br />:::_ Florida Power Corp. <br /> <br />PERMITS REOUESTED <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____FrUle ____Steel <br /> <br />Other <br /> <br />FINISHED 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. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.*************************************.*.* <br /> <br />Simulture <br /> <br />PLUHBER. <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />HEGHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br /> <br /> <br />OTHER. i~ UA.J................::...;..~-;;...;::~Jlv~ Iff. <br /> <br />State Cert. or Regist. t 65li <" <br />Signature City License Registration t 2../ 'b <br />y ........*................................. <br /> <br />~TION APPROVED BY <br /> <br />PERMIT OFFICER. <br />