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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />.1), (.\<- -A-~~V\.S <br />175.'5 1<DJ /J!h:S c5~+- <br />LJ i ~eY-~ Yqy- k <br /> <br />PHONE <br /> <br />;7 '33 -It) ~q3 <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~w Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />o~ Vi15e-';:L <br />BUILDING SIZE: X .10 . <br /> <br />diD <br /> <br />Square Feet, <br /> <br />3' <br /> <br />Height ~1- 0 I~ J'f)~ '7Y1tl <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 />~LDING <br /> <br />00 <br />$ '-1 %00- <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECIlAIITCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />-OONTRACTOR SECTION <br /> <br />~~. lDIPARY CWftJE42 <br />~ - <br />. State Cert. or Regist. , <br />, r City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />F.1.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />......................................***. <br /> <br />SiimAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*....*....*..*.**.*.***.*.......*********. <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />...........**.***.**.*.........**.***.*.*. <br /> <br />Signature <br /> <br />OTRRR <br /> <br />;""."._~""",., <br /> <br />COMPANY <br />State Cert. <br />City Licens <br />.............**...........*. <br /> <br />Signature <br /> <br />or Regist. t <br />Y4.,tJ..QJl t . <br />*.*...**.... <br /> <br />'...... "",,~... ~'''f'~'~ <br /> <br />~ <br /> <br />,{ <br />APPLICATION APPROVED BY <br /> <br />p <br /> <br />PERMIT OFFlcER. <br />