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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />, J;f -I {13,' 1> <br />. y~':>1-1 fs/ <br /> <br />OWNER'S NAME <br /> <br />(JIlA ~€ Sf/'€' OA:fcrS <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />LA 1.1 fLU II ~ (,,{., ~ y <br /> <br />8W/P_ <br /> <br />J-.. 0 r If'! <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.# :JY--~6 -~-/}tJ.30- dO[)DO - y'f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction _Addition -^lteration _Repair _Install <br /> _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _'I of Units _M/H <br /> _COtDIDercial _Indus t" _Swim. Pool ~. <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~c "u! &AI f/-tJ /RVl <br />, , <br /> <br />~ U 11 (... l r'( 1l()lJ'p'1/ <br /> <br />fYl-1 VE4.ovA'I , c#-Pu/!-r <br />, <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t . <br /> <br />Height <br /> <br />RESIDENTLAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />s-,()o. ~o <br /> <br />Valuation of Total Construction <br /> <br />_ELEClRlCAL <br /> <br />AMP 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 />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block. <br /> <br />_FraJ8e _Steel <br /> <br />flLv/Y1( AlVh1 Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT" <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY i?x.il t {ht/~1lUc, feW dF CGA/rVI< <br />.4. fluuk State Cert" or Regist. # C/x:nS7~' <br />~ City License Registration # ~ <br />~ ****************************************** <br /> <br />j:( . <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br /> <br />State Cert" or Regist. # <br /> <br />Si~ture City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert" or Regist. Q <br />Signature City License Registration # <br />****************************************** <br /> <br />HEGHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration II <br />****************************************** <br /> <br />~ COMPANY <br />State Cert" or Regist, # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />