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<br />Tl J2e) <br /> <br />PLV5" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~o'j I-(:;Z -0 ~ <br />PHONE 7'2 7-~ - '372-7 <br />C.~RWATezFL. <br /> <br />I <br /> <br />OWNER'S ADD~OU <br />JOB ADDRESS S' 2 +0 <br /> <br />OWNER'S NAKE MOf2-6AfJ TlfZe, ClJrz-~ <br /><; lJ N "l'{ 1:> ALE g\j O. <br />GALL rJ \/D .. I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install <br /> -X-Sign _Move _DeIIOlish <br />PROPOSED USE: _Single Fallily _M/F _, of Units _M/H <br />, <br /> ~eo..ercial _Indust. _Swia. Pool _Other <br /> <br />Restaurant & Health Depar~ent Approval <br />- , I ;;:'\ <br />DESCRIPTION OF WORK: \NC>'ALL- 5 ')<. 20 ~l6N ON INAU-~AC IN& 3o.!; <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />(,,00.00 <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEGT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />OONTRAGTOR SECTION <br /> <br />BUTI.Dm <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />F.l.RGTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />SiQllAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KEGBANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />************~***************************** <br /> <br />Signature <br /> <br />~ ~ ~ =~~~~~is;l~r~J~-f <br /> <br />Signature City License Registration t ~ <br />.......................................... V 0 fL <br /> <br />APPLICATION. APPROVED BY PERMIT OFFICER. <br /> <br />OTRRR <br /> <br />t.f)~ <br />