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<br />.. .. ~ .. ~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAKE <br /> <br />\S <br /> <br /> <br />PHONE <br /> <br />OWNER t S ADDRESS <br /> <br />r <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D.' <br /> <br />(( <br /> <br />2 <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />(J ~700 )'A <br /> <br /> <br />00 <br /> <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair <br /> _Sign ---..Kove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> ~rCia1 , <br /> _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~~~ Approval,' _ <br />DESCRIPTION OF WORK: ~ Q """cvf e K;JJI{"J tOft J- ~~f~(O ~/+t J,~ /..; <br /> <br />BUILDING SIZE: LfO ~. Square Feet. (& Height <br /> <br />k..iJy,-t-(y b;/l/~Q~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br /> <br />~lRG <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 />$ I) L(OD <br />I <br /> <br />PERMITS REOUESTED <br /> <br />Va1uation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGIIANlCAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTIJlER <br /> <br />GOKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.....**..*****.*****.*****.**********..*** <br /> <br />Signature <br /> <br />F.I.RGTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />........**.....*.*.*..........*.*.....*... <br /> <br />SiRnAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />..............*.*.....*.*....*........*... <br /> <br />Signature <br /> <br />HEGBAHICAL <br /> <br />OTRRR <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />..***.......... .*.... ...... t c <br /> <br />COMPANY ..Q 0 '-, I L. <br />State Ce t. ot. Regist.' ('( ( <br />City License Registration , <br />..*....*..*....**...***.......** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />