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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />;Rlk-Pff <br />LAr tP 'l <br />, <br /> <br />5' fflt:. <br /> <br />~se, y <br /> <br />I <br /> <br />~~M~~ <br /> <br />PHONE <br />t:/AJ r <br /> <br />?so. W~~ <br /> <br />OWNER'S ADDRESS_. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK. <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f C?-C(.:2~ d.-( ~<:0 6 () I () () t'J.?-W (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign <br /> <br />-",ove <br /> <br />____De.olish <br /> <br />PROPOSED USE: ____Single F8IIily <br /> <br />____M/F <br /> <br />____, of Units ____M/8 <br /> <br />____C~ercial <br /> <br />____Indust. <br /> <br />____Swia. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: /0 1~5?;f-(L <br />BUILDING SIZE: CZ X / i) , 50 <br /> <br />i:j5(ro Ike~ S;/I€l> <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 />I?;I rt .a) <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <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 />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: _Block ____Fr8JIe ____Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEGT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAGTOR SECTION <br /> <br />BUilllER/;::~~ =~ert. ~D~~:: f <br /> <br />Signat~ (~!::. ....-- ~_. City License Registration f <br />-.-........ ... ............. ... .................. ..... <br /> <br />;Ie: CI /( IIf.! t/!( ~ <br /> <br />1IJ <br />I <br /> <br />ELECTRICIAR COMPANY <br />State Cert. or Regist. , <br />SiRDature City License Registration t <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration t <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.......................................... <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />