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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N <br /> <br /> <br />PHONE <br /> <br />>7/3-Zef'09 <br /> <br />0, Irfj b4/fJJ <br />OWNER'S ADDRESS .:3' 9 h os (j)0 /9 /Z. ~ <br />519M& rJ ~ ,qbo Vb <br /> <br />l2,b G="' <br />JJtf <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1.D.' ;)~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --Addition. -^lteration ----Repair _Insta1l <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 />_ec:-ercia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Hea1th Departaent Approval <br /> <br />PI) R II f'1 c 'd &-[ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />-Sl#r -~p <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uation 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 />~Cll.ARICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FnUle _Steel <br /> <br />Other <br /> <br />FIlUSBED 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 />BllJI~RR ~ W1PANY #~ o(~ <br /> <br />~ . State Cert. or Regist. . <br />Signature City License Registration , :2 :2.30 <br />.........~........................... . ~ ~ <br /> <br />COMPANY r; j:5 r C~?? B~c <br />State Cert. or Regist. , <br />City License Registration' ./~~ <br />................................... <br /> <br />I'LlJlUlRR COMPANY .x:)":"", ~~~ <br />~ d ~ State Cert. or Reaist. . <br />Signature .0 - City License Registration' .-";] ~~D <br />~ ... ~............................ <br /> <br /> <br />IlECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />........................................*. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />