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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.. <br /> <br />OWNER t S NAKE <br /> <br />a <br /> <br />t)~ <br /> <br />PHONE <br /> <br />OWNER t S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />~ g S 6/ ,,1a/VL <br /> <br />0A <br /> <br />/~T <br /> <br />/ <br />/P/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health,Department Approval <br />DESCRIPTIO. OF 1iOllK, 0'-J' ) ':..~~~ c ,,~<> l: ~" - 'f <br />BUILDING SIZE: X Square Feet, Height <br /> <br />V/V/'I <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 FORKS. <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 />~CTRICAL <br />~CllANlCAL <br /> <br />AKP Service Florida Power Corp. <br />/~rf~ tJ D <br />$ ~.;;;J /<9- Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />F.I.F.CTRICIAN <br />SianAture ~ c/ t't-?~ C rZ4--<-I~-:f' <br /> <br />COMPANY fA Ci7lf j( f) C';e /I A/'(}~? L <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />r ltf'c77? I c.A L t::OA/7ffl!CTit< <br /> <br />() 7::< <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />IIECBAIII<<6L ~ COIlPAIIY ,tf" 1/ d's /"'~ ,....... ~ [ c: "s .e .(/c <br />r'. ~_ State Cert. or Regist. l c 4<::" vJ'7 y ~ <br />Signature ~ City License Registration I /7 <br />****************************************** . <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />\ <br />