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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.f{23 J~ <br /> <br />OWNER'S ADDRESS <br /> <br />OWNER'S NAHIL--JJanIL\ ~ /. j)o'(l)(jM'f I- <br /> <br />~~'3Z? \IA" AV1,Y/Il~. <br />.3~g 2.3 <br /> <br />"lLJi <br />t.Y1ut J <br /> <br />R \VeJ13 <br />Z~~l\ I~ <br />. <br /> <br />Z-kWk <br /> <br />PHONE 7B ~ -1...'\ \ 4 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f 14 -7 ". 1..1. nn \ D - l) l> 30D ' CO 54 ~ (OBTAIN FROM PROPERTY TAX NOTICE) <br />R-t.\&of <br />WORK PROPOSED:____New Construction ____Addition ----^iteration ~ Repair ____Install <br /> <br />____Sign <br /> <br />---1fove <br /> <br />____DeJlolish <br /> <br />PROPOSED USE: ~Siogle Family <br /> <br />____M/F <br /> <br />____, of Units ____M/H <br /> <br />____eo..ercial <br /> <br />____Indus t. <br /> <br />____Swim. Pool _Other <br /> <br />~Restaurant & Health Department Approval <br />DESCRIPTION OF WORK:JplI) "\Y\ I v~1 ~ roof <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 />$ ~S 2 . u l) <br /> <br />Valuation of Total Construction <br /> <br />____ELEGTRIGAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____HEGllAlUGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fra.e ____Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUTlllER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />.......*..................*............... <br /> <br />Signature <br /> <br />ELEGTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />....*..................................... <br /> <br />SionSlture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />......*..................................* <br /> <br />Signature <br /> <br />HEGHANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />~ *********.******..*....*******...**.*.*.** <br /> <br />~ COItPAliy_M;\.9Y P~md'\oY). I V\C. <br />. S. tate Cert. or Regist.' ~L ~~S.~7 I~ / <br />_~City License Registration.' z.. 1.,/ <br />**.*..*..**...*.*...**...***...****.**.*** . <br /> <br />Signature <br /> <br />OTHRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />