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<br />APPLICATION FOR PUKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~; <br /> <br />,::( <br />f. <br /> <br />OWNER'S NAKE K.a/A;e. +- }fJa~S#~Etr <br />OWNER'S ADDRESS 3 ~ 6.:2 :) 1f fit J4 v e. . <br />3 ~ !P;2J S of'" J1-tlE <br /> <br />.fJt jcRdI PHONE <br /> <br />;7~? <6 - ''it) t, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) q ~ I D BLOCK I TJ tJ. SUBDIVISION <br />PARCEL 1. D. . It - ;;2 fp<) l - e t) I 0- (f) t{ [) () - D D ? 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration ~epair t/Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--1f.1 F <br /> <br />_' of Units _H/H <br />V Swia. Pool _Other <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: P(,\+ i.tf SWI It1M; "'j Pr-D , /l"BOVJ: <br />BUILDING SIZE: J.J... X ';U/, OJ.. If ~ Square Feet, 4. .(JfHeight <br /> <br />, <br />\ <br />FX/57/~ <br />G-KtJU;.JD L r-CAt!E ) <br />/ <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/ BUILDING <br />"/ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />.J.Sf).9D Valuation of Total Construction <br />AMP Service /' Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-'fECBANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PL~ING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'l'OR SECTION <br /> <br />BUTT.DER ~ ,.. ~ COMPANY <br />LV v t:" State Cert. or Regist. . <br />Signature ~ R- ~~ City License Registration t <br />.......................................... f c;;w'~ ~: .~ n J <br /> <br />Rl.RCTRTCIAN COMPANY J~1 t> ~ ~ D.Al l? Ie G-f ~ I <- ~ <br />./\) A ___ _. ("\.. ~_ r\:o. State Cert. or Regist. t <br />SilmAture 1/ ~ ~ ,l~ City License Registration' <br />****************************************** <br /> <br />PLmtBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />- <br /> <br />tlECBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />******************************* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />