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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAKE fie.cJ. <br />OWNER t S ADDRESS 3 /3 tt Lf <br />JOB ADDRESS 3'7 '1 c.; '-I <br /> <br />5. n-,e ",/ <br />I <br />to ;--h )# v e..- <br />(;; rlt ;:Jv c- <br /> <br />PHONE 7zr-3 --;23CJ y <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -^lteration --.:Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_RestaUrant Ii Health Departaent Approval <br />~~<- cpur <br /> <br />/J /ct___ <br /> <br />, <br /> <br />~eu';P <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 Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (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 />_ELECI'RlCAL <br />~CllAllICAL <br /> <br />AKP Service Florida Power Corp. <br />$ :< ~/5'Qr:--~ Valuation of Mechanical Installation <br />f <br /> <br />W.R.E.C. <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 />FDiISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />F.T .F.CI'RlCIAR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />IIECBAIIlGAL ~ COIlPAlIY j~4<2.- r*/~~ ~ <br />~ State Cert. or Regist. t oCJ <J .~I tJ <br />Signature City License Registration f / b <tc;- <br />...- ............~............................. <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />