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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME J/1;f 3' ~9Ti ~ Ch.- K:..J <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />1. ~-r 119 <br />. <br /> <br />CO<j <br /> <br />f-J;rf <br /> <br />LCf (7.p <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL LD.' 2. <i-2~ -'4..1 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />('/VO 0 <br /> <br />- OO/OCl .- .//9 <br />. <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---^lteration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />~/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: IJ; I? J<. #10 cd ~ <br />BUILDING SIZE: /2. X y--z.., Y9~ Square Feet, <br /> <br />Height <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />--1IECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIJIISIIED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIJTI.DER <br /> <br />CONTRACTOR SECTION <br /> <br />aMPAIIY ~ L?;.LI~ <br /> <br />f'. I ~ State Cut. or Regist. . <br />1../lJ~p-~. . City License Registration . "1'"A L <br />**** ************************************ <br /> <br />9~ <br /> <br />Signature <br /> <br />PLUHBER <br /> <br />RT.RCTRICIAN COMPANY ~r -r , <br />~ ~ State Cert. or Regist. . <br />Siorulture, ~ ~...... City License Registration . <br />*** ************************************* <br /> <br />COHPAIIY C7'.~ <br />~ State Cert. or Be ist--:-t <br />~~~ City License Registration' <br />*** ************************************** <br /> <br />r'~ <br /> <br />Signature <br /> <br />LJ7- <br /> <br />yy <br /> <br />Signature <br /> <br />COMPANY ..4 L e.. <br />W ~ State Cert. or Regist. . <br />~ a City License Registration' <br />** *************************************** . <br /> <br />MECHANICAL <br /> <br />f"'~ <br /> <br />OTlll1.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />