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<br />APPLICATION FOR PRRKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAME <br /> <br />W 0..1, It\ e. CD \~ <br />(Ot.t *- 3 'I <br /> <br />/1 <br /> <br />5 ieef'l <br /> <br />PHONE /63 - 3195 <br />if<o ll'lXiJ :r< IJ .pC{" L 2 <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: WT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br />WORK PROPOSED:~ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />L. <br /> <br />_Hove <br /> <br />_DeI8Olish <br /> <br />PROPOSED USE: <br /> <br />Faaily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_K/B <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_SlIl'i.. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />~~~~.: <br /> <br />COHKERCIAL : <br /> <br />_Restaurant &: Health DeparUlent Approval <br />J I <br />7 X ;).0 . ) if) Square Feet, <br /> <br />8' <br /> <br />Height <br /> <br />ATTACH (2) PLOT .PLUS & (2) SETS OF BUflLDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS Of BUILDING PLANS &: (1) SET ENERGY FORtIS. <br />PROPERTY SURVEY RIl'QllfIRIID fOR ALL filr.W CONSTRUCTION. <br /> <br />~UlLDING <br /> <br />$ <br /> <br />9J50_'9- <br /> <br />PERKITS REOlBESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AftP Service <br /> <br />Florida Power Corp. <br /> <br />__W.R.E.C. <br /> <br />_KECIIMllCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOfUilG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACI'OR SECTION <br /> <br />COKPANY--E:ah r( :) .m tJ rYJl nOrv) <br />State Cert. or Regist.' CbCJjr 0 ?'7 <br />City License Registration . ' <br />********************.**.*.**.**********... ' <br /> <br />Signature <br /> <br />ELECTRICIAB <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.*...*..........................*......... <br /> <br />Silnlature <br /> <br />PLUKBER <br /> <br />COKPAU <br />State Cert. or Regist. , <br />City License Registration , <br />..**..*.****.....***.....*.......*.**.*..* <br /> <br />Signature <br /> <br />flECIIAlilCAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />********.*.*.**************.**.******.**** <br /> <br />Signature <br /> <br />OTHER <br /> <br />COHPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*.**.***.*****.***.*********************** <br /> <br />Signature <br /> <br />APPLlCAITOB APPROVED BY <br /> <br />PERKlT OFFICER. <br />