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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />PHONE <br /> <br />;7J>;l- ;(0l7? <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br />V;ingle <br /> <br />-'love <br /> <br />(OBTAIN FROM PROPERTY T~ICE) <br /> <br />--...Alteration _RepaAr "1":'"':'Instal4-- <br />fl,.,. efl/ll-C e rtt. e."; J <br />_DeIIOlish <br /> <br /> <br />_' of Units ~ <br /> <br />WORK PROPOSED:_New Construction _Addition <br /> <br />F8IIily <br /> <br />_KIF <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />Re~ .. Health nepar..ent Approval <br />DESCRIPTION OF~: e (J4~d- e{J MtJh/J.e. ~wt-€ <br />BUILDING SIZE: lOx 0/'0. I.foo Square Feet. 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 />j'UILDIRG <br /> <br />_ELECTRICAL <br /> <br />PERMITS REOUESTED <br />$ ~) 5'00 Valuation of Total Construction <br />{PO AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CBANlCAL <br /> <br />_PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUn.DER <br /> <br />mllTBA'::';ECll1t-J.er.};e IJ Mob " Ie f/-e ~3 <br /> <br />State Cert. or Regist. t <br />City License Registration t 1 ~ <br />................................... <br /> <br />COMPANY ~ ~(" J A f'1 G" I e. e.- <br />State Cert. or Regist. t <br />City License Registration t --116 <br />................................. <br /> <br />COMPANY N e, SOn f<.. <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />State Cert. or Reg s . <br />Si City License Registration t <br />...........~..........................**.. <br /> <br /> <br />Signatur <br /> <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.*.....*.....*****..**.*.....**.*.*******. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />