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<br />APPLICATION FOR PBRKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />0IlIIER' S IWIIl Do -->j-\ u. s Gc '.u <j P ):- <br />OWNER'S ADDBm)S 4 7 4 3 I ' 7 r~ ~-t, <br />JOB ADDRESS 4 7 4 S J 7 r-t.. Si- ' Z t> (J k y ~ ~'"\ ~ \ \ S <br />LEGAL DESCRIPTION: LOT(S) 5 IV i'J.:~ ~B~SUBDIVISION r1'\C)O)-eS ~'...~t <br /> <br />PBONE <br /> <br />7<Dd-.. ) 7 5R <br /> <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX. NOTICE) <br />WORK PROPOSED:_New Construction ___,Addition ----.AJ,teration ---.Jlepair +Install <br /> <br />_Sign <br /> <br />--lfove <br /> <br />_Deaolish <br /> <br />P~POSED~E: ~s~eF_ilY <br />_ec-ercial <br /> <br />~/F _' of Units _M/B <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTIOR OF WORK: <br /> <br />---..Restaurant Ii: Health Departaent Approval <br />\ () ( M.e ~ SeA... ~ \ \ \ ~ \) ~ ~ <br />. <br /> <br />~c;kt\ <br /> <br />BU1LDIliG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIiTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET EliERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BU1LDIliG PLANS Ii: (1) SET EIiERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />~UlLDIliG <br /> <br />PERMITS REQUESTED <br />$~Valuation of Total Construction <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECl"R1CAL <br /> <br />-"ECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBIliG GAS ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOR: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />PIlIISHED FLOOR ELBVAnORS: <br /> <br />Fr. <br /> <br />IS PROJEct IN FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BITTTJ1RR <br /> <br />COHPAIiY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT .RCTRTCIAII <br /> <br />COHPAIiY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SionAture <br /> <br />PLUllBER <br /> <br />COKPAIiY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECllAllICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />~ <br />It <br /> <br />Signature <br /> <br /> <br />COMPANY 'v...J <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br /> <br />OTHRR <br /> <br />APPLICAnOIl APPROVED BY <br /> <br />PERHIT OFFICER. <br /> <br />~ <br />