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<br />- . "'.. <br /> <br />OWNER t S NAKE <br /> <br />G"Yf>.<^ VI <br />\ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />kL(\lev!h A <br /> <br />PHONE <br /> <br />OWNER t S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />~/~t""l <br />LEGAL DESCRIPTION: LOT(S) '::) f <br /> <br />BLOCIL--SUBDIVISION <br /> <br /> <br />PARCEL LD,' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S ingle Faaily <br /> <br />_K/F <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant lit Heal~ D~rtaent Approval <br />~J ~-b ., ~ ~.( 'v.-~ i?. v- -t 0 <br />\ <br /> <br />Lc+ <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 lit (2) SETS OF BUILDING PLANS lit (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS lit (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />----...BUILDING <br /> <br />$ <br /> <br />0...<:.' <br />~bD <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECBAIf.lCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUtI8ING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 />BIJTI.Dg <br /> <br />COMPANY <br />State Cert, or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />F.I.F.CTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiDnAture City License Registration , <br />****************************************** <br /> <br />PLmtBER COMPANY ~1)v\( $ I f S~y,S <br />~~-ft~(~....... State Cert. or Regist. · <br />Signature /' 'V~ -~. City License Registration' <br />L~ **** ************************************* <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />************~***************************** <br /> <br />PL...L'", ) <br /> <br />;}(,)~:l~ <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />