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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />ff' -l <br />~ . ~OC <br />. ~..s2 <br /> <br />v<-Cz'." <br />C;-~ .a <br /> <br />PHONE <br /> <br />,?DO <br />.r 012> ... <br /> <br />70..2..6 <br /> <br />OWNER'S NAME <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1. D. t / /-,2/, - !X.. 1-- ~O( /') -;Y 6.R D t> - t!)() 10 (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---""Iteration _Repair _Install <br /> <br />_Sign. <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_t of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br />- IS- <br />DESCRIPTION OF WORK: {1!,1F"~ 1""07'./01 L/AI;I Cha~__ ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />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 />_ELEC'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAIflCAL <br /> <br />$ <br /> <br />57 ~ O,~ Valuation of Kechanical 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 />FIRISHED 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. t <br />City License Registration t <br />****************************************** <br /> <br />RUTT.DER <br /> <br />Signature <br /> <br />SignAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />F.l.E.C'fRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br />COMPANY ~j<.)sy C~p';r~ <br />State Cert. or Regist. f c?CJ s-y / .\.. <br />City License Registration t / 8 ~_ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />,~~. <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />