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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME V--/ DOIJI9 LD M_A/EI L- <br />. <br /> <br />OWNER'S ADDRESS" .ij1 -t/;2 ,-) /d ~~- <br />JOB ADDRESS V'-- ~ nJ.lJE <br /> <br />PHONE j) ~- ?6'o~ /2d,J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition. --Alteration _Repair _Insta11 <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Hea1th Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~ rf E <br /> <br />!? 06 F <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 />V;;UILDING <br /> <br />.$/htJ()~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECBANICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />-PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDnSHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />'CONTRACTOR ~C:Tl;~~ <br /> <br />COMPANY -9/~ ~/_) <br />I) ../ YI/1 1/1?F/J State Cert. or Regist. . <br />Signature,/' ~~ ' //. ~ %.r City License Registration' <br />****************************************** <br /> <br />BIJTI.nm <br /> <br />RI.RCTRTCIAN COMPANY <br />State Cert. or Regist. f <br />SianAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL 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 />