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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~r <br /> <br />'- <br /> <br />q( '1~ ~ <br />3 -11/ ~~o <br />qY/-& <br /> <br />OWNER'S NAME <br /> <br />h~/ <br /> <br />V/V/'7EZ> /1'1E7qO~/5 r Ll/.lv.a:J1( <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS r"5B~35 F/F7# A\/tFA/t/C <br /> <br />7:E?:4VYi?II/u.5 ~~ <br /> <br />7.3S'9'0 <br /> <br />JOB ADDRESS <br /> <br />:'S"AM € <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 ...,LInstall <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: _Single F8Ilily <br />~~ercial <br /> <br />_H/F <br /> <br />_, of Units _M/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Depart:llent Approval <br /> <br />DESCRIPTION OF WORK: /N~7I1Ll, <br /> <br />Hi?E AI!.ARff7 / Vo/t'e- EvAC: <br />. <br /> <br />SYS7E/1'7 <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ IIi ~ . c7V <br />;L <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 />---"ECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUJI.DER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />:=CIAR ;I;, 'I COMPANY NIL.,",", ..J, WOoD, F,RE ?,F'07"('7/0N <br />#~ ~ State Gert. or Regist.' bLOOD 1:57'1 <br />, City License Registration t 2..304 <br />. .......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />