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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE OrnvL -&- j/OS,J'oNl ~"I'-?I.. 1';.70. <br />- <br /> <br />OWNER'S ADDRESS 'I {, I ~ IJ It)J".J" 111 8 Ivl. ;( r: 11 Ii /,(, <br />, <br /> <br />JOB ADDRESS YS-/~ -/f- ~O'-~R.. IJ/O>-J'fH'1 #I...,t! <br /> <br />PHONE <br />33(,;-'1/ <br /> <br />i7~<6"- 000/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />c..r <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration -LRepair _Install <br /> _Sign _Hove _De.-olish <br /> -bingle . L. of Units <br />PROPOSED USE: Faaily _H/F _H/H <br /> -~ <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />R(:'IIA;~..... >~f'-//Y.. ~o(!1 <br />I r <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. r-J('C' <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 />$ 5>-7S~C;~ <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 />_MECllAlUCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />)( ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF GONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT JlER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SianAture <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />~***************************************** <br />7 . <br />COMPANY ){.v'{ / /j If ()c f '7 t'D <br />State Cert. or Regist;' Rc "0).. SS"'I ~'- <br />City License Registration # (rO <br />* ************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />Signature <br /> <br />APPLlCATI <br /> <br />PERMIT OFFICER. <br />