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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S <br /> <br />NAME J (~~I t, kJ'1 <br />3<i~{q <br />:>~Cel '1 <br /> <br />~llr~( <br />k\(~<\ Ave.. <br />A---l If ~,4- A v <.. <br /> <br />PHONE <br />Z \ \-\tl\f I fL <br />(f " <br /> <br />I g~'b" 5 3 <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.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --.Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S ingle Family <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swilll. Pool _Other <br /> <br />_Restaurant 5: Hea1t:h Departaent <br />DESCRIPTION OF WORK: "TEAR oFF - K{2: tCOOF <br /> <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ .3 d- (/ZJ . c)-u <br />, <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 />---1IECHAlUCAL <br /> <br />$ <br /> <br />Va1uation of Kechanical Instal1ation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1oclt _Fraae _Steel <br /> <br />Other <br /> <br />FDfISHED 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 />BUn.DER <br /> <br />COMPANY <br />State Cert:. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />****************************************** <br /> <br />Si~ru:llture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHAlUCAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />~ COIlPANY \CoO Noo)lN <br /> <br />State Cert. or Regist. t (. (L O:fZ87 <br />Signature ---. City License Registration t ~ <br />****************************************** <br /> <br />OTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />