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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />~ e c-!/,.t.,.. r..J ~ tT:S~.s1( e. (2),j4t<~ PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS L6 1.1 0 <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />h1A~3--rt~ 04~ <br /> <br />3f:27 J~7/~d ~U- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' 1... c! )("4..-~ - -z..J (} 0 () 0 0 0' 0 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~ Construction _Addition .--1Uteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />~/F <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant Ii Health Departaent Approval <br />mo/~1 <br /> <br />k;< <br /> <br />BUILDING SIZE: fr" (/ X 7----: <br /> <br />7 "'" Square Feet. ;;Y <br />. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />'2~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />/~ AMP Service <br />. <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGIIAIflCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />'CONTRAClOR SECTION <br /> <br />Ill1WIlR COKPAIIY ~ ~'/7'0 <br />~ State Cert. or egist.' <br />Signature W'-~7{) City License Registration' 1./ V <br />**** ************************************ <br /> <br />RI.RCTRIGIAIf _ COMPANY J!-c-e. <br />/: f ;J ell /)/J State Cert. or Regist. . <br />SianAture ~ T/~ '. ~ ~ City License Registration . j ~ <br />****************************************** <br /> <br />PLUMBER COMPANY L?~ ~ ~ I' /fC5 <br />/ } ~ State Cert. or gist.' <br />Signature f--<-/ ~fi-./tv' ..... City License Registration . If ,fY <br />**** ************************************ <br /> <br />MECHANICAL COMPANY tfL -e.. <br />/' ,{' ;J /1' ,,/J State Cert. or Regist. . <br />Signaturec. 11 ~ c 4f' (7U'V City License Registration' ~~- <br />****************************************** <br /> <br />OTIfRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />