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<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
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<br />OWNER · S NAME
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<br />JOB ADDRESS
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<br />LEGAL DESCRIPTION: LOT(S) ~~("" /1/ ,. /((/ BLOCK
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<br />SUBDIVISION f x A; itl .4 ,
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<br />PARCEL I. D. t ('. Z -. Z G - 7'. / - () :~! / (!, C (f (( () - (". C ::: (I
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<br />(OBTAIN FROM PROPERTY TAX NOTICE)
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<br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair ____Install
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<br /> _Sign _Move _Demolish
<br />PROPOSED USE: _Single Family _M/F _#: of Units ____M/H
<br /> 4COBmlercial _Indust. _Swim. Pool _Other
<br /> _Restaurant & Health Department Approval
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<br />DESCRIPTION OF WORK: -1 II J/ ~ I ( ,c' < ;> . _:
<br />d-C!!-' :J U ,X O'u , " C'v't
<br />BUILDING SIZE: ;20 X (r'(). ?, -100SQuare Feet. 8 (!h, Height
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<br />elo X /00
<br />RESIDENTIAL: ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. J 'l)
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ !/ f) 3(/
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<br />PERMITS REOUESTED
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<br />_BUILDING $
<br />~ELEGTRICAL
<br />IV' ft MECHANICAL $
<br />~PLUHB~NG
<br />TYPE OF CONSTRUCTION:
<br />
<br />/0/, 7>8 ~I
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<br />Valuation of Total Construction
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<br />AMP Service
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<br />Florida Power Corp.
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<br />_W.R.E.C.
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<br />Valuation of Mechanical Installation
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<br />GAS
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<br />ROOFING
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<br />SPECIALTY
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<br />_Block _Frame -1L.Steel
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<br />Other
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<br />FINISHED FLOOR ELEVATIONS: 07. 86FT.
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<br />...............**..*.***********.*********
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<br />IS PROJECT IN FWOD ZONE AREA? ~
<br />YES NO
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<br />CONTRACTOR SECTION
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<br />/1 (\ / (- I r / ;/ -r-, f"
<br />BUILDER. COMPANY xl.. ,.,) r " (-<. C "( (" ....:.--' I, .
<br />,~-:-/ State Cert. or Regist. # C (-) C 06/6 'l4S-
<br />Signature~ --- City License Registration t
<br />*..**.***********************************.
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<br />ELECTRICIAN
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<br />Si2llature
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<br />COMPANY
<br />State Cert. or Regist. #
<br />City License Registration #:
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<br />PLUMBER.
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<br />/1/ /A
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<br />COMPANY
<br />State Cert. or Regist. #:
<br />City License Registration #:
<br />******************************************
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<br />Signature
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<br />KECHANICAL
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<br />Signature
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<br />/V/A
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<br />/
<br />
<br />COMPANY
<br />State Cert. or Regist. #
<br />City License Registration #
<br />*.****.*.**********.*******************.**
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<br />!rIIIU COMPANY
<br />State Cert. or Regist. #:
<br />Signature City License Registration #:
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<br />APPLICATION APPROVED BY PERMIT OFFICER.
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