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<br />OWNER · S NAME <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br /> <br />Q / / / BUIIJlING ~EP7l <br />UOIA'fA +ruJ ~ <br /> <br />i.l:) ~8d. fJ.5~O' <br />:1): . ~q 0'1" 't; <br />~ ,5 <br /> <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />S~~8 <br /> <br />t~ <br /> <br />w. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br />PARCEL LD.' /I-~~ -J1-OD/O-/5c(6f!}- Of'10 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition l.Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaur';'i9t & Health D=.tl~-t,,,::;val r-:..1. 0 \'\ . _ <br />DESCRIPTION OF WORK: cat II tVd..V -r-' -==' ~ - ri20vcr R "-et<f' J..,.KX7R5 <br />/ <br />BUILDING SIZE: X Square Feet. Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PWT 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 />_BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />/! /7 8: ~ Valuation of Total <br />/ <br /> <br />Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CllANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BlJII.DER <br /> <br /> <br />CQITRA=~E~i l~L.tiHLf f1nslrsudi~/~~ <br /> <br />State Cert. or Regist/. V <br />City License Registration' '. J .') ..2. ,p--~ <br />********************************** <br /> <br />, CllIIPAllY ,<)Ald lI.i.llrJ HP.cTl;:lJ- ~ V' <br />State Cert. or Regist. . <br />City License Registration . I 40 I <br />**************************************** ' <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KECllANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />