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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />G/i!ll>Y~ ,6,lYJfeN <br />::3 7 Yo J-FIJ ~I?:r- ~f.J- <br />"37[/0 k;4~~5V ~tPp. ?."<:::fAy/l/r, Er ;:-:>S-Y/ <br />SUBDIVISION W~~y> iJ /1'lr'J b MAA..I?Il- <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />i 7~ - <9:rY7 <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL I.D.' /CJ-;).{i}. J-{)/~o-()('Yr'Y')- f)t) STJ <br /> <br />WORK PROPOSED:_New Construction _Addition b1teration ~epair _Install <br /> _Sign --"ove _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units _M/H <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant Ii Health Departllent Approval <br />DESCRIPTION OF WORK: nI7<f'^ Fi'Pa/l. 'r In [J//'I\.() d SJ(7)PAS_ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENEltGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br />.1X.ELECTRICAL <br />---1IEClWlICAL <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />7.00. Valuation of Total Construction <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSBED 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 />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />~ <br />RT.RCTRICIAH." COMPANY. . <br />,// ~ State Cert. or Regist.' c <br />::: / . /' . City License Registration . <br />~ .......................................... <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />KECBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />" <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />