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<br />APPLICATION FOR' PERMIT <br />CITY OF ZEPHYRHILLS I ,,'..... I ~ 1 <br />BUILDING DEPARTMENT ~ \..(J U! . <br /> <br />OWNER'S NAKE Nor- ber.f-'t- A~~tA- Sltsk Ie w,'c- 2- PHONE 7CjO - 7 ::J.-wr::) <br />OWNER'S ADDRESS 55 Lf d- i: u. G eJJ e... D r <br />JOB ADDRESS f:tm.1 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION.5 i'f. Av'L(}u~' 111~ <br />PARCEL I.D.' IJ---~ (p - J.- 1- On ()-I?J-()OSJO - {)QXj (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ----A1teration ~epair _Install <br /> _Sign _Kove _Deaolish .>C_~ <br /> . V<'H <br />PROPOSED USE: _Single Family _KIF _, of Units <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />Restaurant & Hea1t:h Department Approval <br /> <br />DESCBDTIOR OF WORK:~ PAlifti ""kffL', b ~ de<)11AJ/CflV~~ <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. <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 />_BUILDING <br /> <br />$ <br /> <br />700.61) <br /> <br />Valuation o~ Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECIIAHlCAL <br />~PLUKB~NG <br />TYPE OF ooNSTRUCTION: _B1ock _Fraae _Steel <br /> <br />$ <br /> <br />Va1uation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDUSBED 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 />BIITI.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />SiOTUI ture <br /> <br />PLUMBER <br /> <br />COMPANY f!l iriwQ r Se.rv "Ct!~ ( ~ <br />State Cert. or Regist. , LFC~I <br />City License Registration #I _ ':2-0' 7 <br />***************************** <br /> <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />***********~****************************** <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />