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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />) <br />--? ,d.,W <br />7\w /.,r~oD <br />/[) - J <br /> <br />OI/llER · S NAIlIl S A rJ DRA ... uJ E SLt: )i /J1 A /VA:'.' A/r <br />OWNER'S ADDRESS 312.13 - b -t'4 A v E. <br />JOB ADDRESS SA fY\ E A 60 v E: <br />LEGAL DESCRIPTION: LOT(S) '2- BLOCK 2 b SUBDIVISION 2-/ <br />PARCEL 1.0.# J? ~ - ;;? I -) d - 0 C7t'- (J()(;itJO- 0/ It:' -t:p/ (OBTAIN FRflM PRO~ERTY TAX 1I01-'IC~1 <br />WORK PROPOSED: v":ew Construction ./ Addition . -J1teration _pair _Install <br /> <br />PHONE '? [) 6- (., [58' 5/ <br /> <br />Pa5CO Per-~,t <br />5erv( toe 7'8'f}- <br />~31'1 <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: LSingle Family <br /> <br />_Move <br /> <br />_DeJlolish <br /> <br />_M/F <br /> <br />-' of Units --..JI/H <br /> <br />_Coaaercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: S C R.. E P. N R 00 rl', f L:X 1 E ('J 5 , t' (oJ loG LA S 5 R f? a r", <br />~L-A Ss 12m - ;;2.13 rh <br />..,.. . I <br />BUILDING SIZE: X, Square Feet, 7 Height <br />S Ci:J,t7~.-1U ~ 7 D t:/1 . <br />RESIDENTIAL: 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 />/BUlLDING <br /> <br />PERMITS REOUESTED <br /> <br />$ cJt(' ;;;,g. tm <br /> <br />Valuation of Total Construction <br /> <br />-LELECTRIGAL <br />_MECHAlUGAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <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 _FrUle _Steel <br /> <br />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 />Signature <br /> <br />-CONTRACTOR SECTIO~ <br /> <br />COMPANY jJ.;;r~. /-Jj v /)1 / /v v /It <br />~ ~ f ~ State Cert. or Regist. # <br />4 ,( City License Registration' <br />, . ******** ********************************~( <br /> <br /> <br />BUlLD~ <br /> <br />ELECTRICIAN COMPANY -L C <br />~ ~ State Cert. or Regist. # e <br />SiRnatur , ~~ City License Registration f <br />************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration' <br />****************************************** <br /> <br />MECHANICAl. COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />