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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />5P yip-; <br /> <br /> <br />OWNER'S NAMR <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL J.D.# /:J-dh-:t.\-(Y).<:;[) - mCY-yJ- (Jl~D(OBTAIN <br />WORK PROPOSED:____New Construction _Addition ~lteration <br /> <br />FROM PROPERTY TAX NOTICE) <br /> <br />_Repair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~ingle pamily <br />_Commercial <br /> <br />____Move <br /> <br />_Demolish <br /> <br />____M/F <br /> <br />____' of Units _M/H <br /> <br />____Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />_Restaurant & Health ;:J'r....ent Approval <br /> <br />DESCRIPTION OP WORK: (l m (Pf 1: PX \ cirq ~ Jftofl rnor:] fr"j <br />BUILDING SIZE: &x.J..l...~square Feet, q Height <br /> <br />0fJJjl\ClJJ!l <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SA~T ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.ft <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . f.7""- ~ /J ; <br />G. fJ ,-;/,--}) ( <br />PERMITS REOUESTED <br /> <br />$ c18~-7 otJ <br /> <br />Valuation of Total Construction <br /> <br />~UlLDING <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br /> <br />Corp. W.R.E.C. <br /> <br />Installatio::- Ii '-13:2 / <br />0h~/ <br />~ <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block. <br /> <br />_Fra.e _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS 'PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />BUILDER <br /> <br /> <br />****************************************** <br /> <br /> <br />CON~GTOR S~QiD () ~~ <br />COMPANY A>J-() ,AYI.A./tl/A/1"'1 <br />, "- <br />State Cert. or Reg st. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />SilUUlture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECIIANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />