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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKIl {2 ~ '7LiIAav <br />~ /~~~~~ <br />OWNER'S ADDRBSS 3 0 ~ ro /br ~ <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION <br />PARCEL LD.' :2'f--.2(;, -2./-0000 - () 0 /D 0 - ~ Lj (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~"h! <br />( <br /> <br />PHONE '7 f'O .-. '12 J 9' <br />--~~ ~ -Z7/lt. <br /> <br />WORK PROPOSED:_New Construction -^ddition _Alteration _Repair _Install <br /> _Sign -"ove _Deaolish <br />PROPOSED USE: _Single Family _M/F _' of Units ~/H <br /> _CotDIIercial - Indust. _Swim, Pool _Other <br /> <br />~estaurant & ~ealth Depsrtaent APPro:al __ ~~ <br />DESCRIPTION OF WORX'~AI'~~./ - 7.5 -1jw;, > <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br />~LECTRICAL <br />.t--'MECIIAlfICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E,C. <br /> <br />$ ,/~ '3 f, ~ D <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />=~~ <br /> <br />~' ~ <br />COMPANY . D ~ <br />~ State Cert. 0 'RegiS~O ...-- 1"-.L3 <br />~ City License Registration' R. 0 ~ <br />/ <br />*************************************** <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />**************************** ************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />COKP <br />~ ~ State Cert. or egist.' AA 0 <br />/1 City License Registration' ;2.0.r <br />/ ****it********************************* <br /> <br /> <br />/ <br /> <br />MECHANICAL <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist, f <br />Signature City License Registrati~n t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />