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<br />APPLICATION FOR PERMIT t2. '1 ~ \ <br />CITY OF ZEPHYRHILLS /~ <br />BUILDING DEPARTMENT '9 ~ <6 <br /> <br />./ If 1, <br />4)f <br /> <br />OWNER' S NAKE <br /> <br />If' /1 V ~-!q/U <br />/ <br />~ /30 Ii/) I/Ci/ ff~ <br />/ <br />~Ct Ihl <br /> <br />PHONE ; 7/....5-- 7'..53-/ <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION cJq IC51~ <br /> <br />PARCEL LD.' 02- - 2)0 - LI ~ VoLo -ciQ 300 .-0010 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction _Addition _Alteration --ltepair ,k..Install <br /> _Sign ~ove _Deaolish <br />PROPOSED USE: _Single Fallily _KIF _' of Units _M/H <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health DeparbBent Approval <br /> <br />CC(/fbr,1 rf sA j <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: 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 />3/ /7 / <br /> <br />,. <br /> <br />Valuation of Total Construction <br /> <br />_ELEcnuCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />--YLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />,./<1 <br /> <br />Other <br /> <br />PDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? -.L <br />YES NO <br /> <br />****************************************** <br /> <br />BITII.DER <br /> <br />CONTRACTOR SECTION ~ <br />~ COIIPAIIY If J!; Pk",/ :e.t/p.., <br />~ State Cert. or Regist.' Ii' 60,j,'OO ~ <br />. ~ ~ City License Registration' Aj7'Z: 41v,rl_23-'..r_~,,; <br />/********* ******************************** ~ <br /> <br />Signature <br /> <br />F.I .RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />SimlAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLIcATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />