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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ~\\. - \L <br />OWNER'S ADDRESS 3'0\0;- H~\lx..~"'I ~u.An ~ <br />JOB ADDRESS ~c- <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />..~. <br />-.:.~. . <br /> <br />........ '~TI1' <br />SUBDu~N <br />", <br /> <br />(OBTAIN FR"bM. ..pROPERTY TAX NOTICE) <br /> <br />PARCEL 1. D. t <br /> <br /> ~eration ..,. <br />WORK PROPOSED:_New Construction _Addition _Repair.~~Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: _Single F8Ilily _KIF _' of Units _K/H <br /> ----ec-ercial _Indust. _Swim. Pool _Other <br /> <br />Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: \28 c::CJc>.T:t=- S\U~-nJ~ <;:'C\..~(\.Hl R~ Jt:~A. r~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />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 />Valuation of Total Construction. <br /> <br />_ELEC'fRIGAL <br />~CBAlfiCAL <br /> <br />AMP Service Florida Power Corp. <br />S , LaO ,00 Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT" <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />ELEGTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SiDflAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />KEGllANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR J COIIPANY Co\< b"-C;; ~C'I"<X~ . W<- <br />. ~ State Cert. or Regist. t DI~'.B2...CC)t:)I~r;:- <br />Signature ~ C Ah. City License Registration # \-, \C) <br />** ************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />