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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />?~oo <br />-~-Iq- <br /> <br />OWNER'S NAME QCi'" (<e-/I\./ 3;n JILl N <br />, <br />OWNER'S ADDRESS _'5"~3~ /O~ Slf?'e'r.::f <br /> <br />PHONE <br /> <br />2, i-IJII,> <br /> <br />33SYO <br /> <br />JOB ADDRESS 5" a. In l'" <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 ~lteration ~epair _Install <br /> _Sign. _Move _Dea>lish <br />PROPOSED USE: _Single FalBily _M/F _' of Units _M/H <br /> _eo..ercial _Indust. -X-swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Deparbaent Approval <br />f:,oJ- .J.. Vc:.<.J( ("C'XI67/,J;- t!-f//l/tJ,(/VI< FrA.i!.E ) <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 & (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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 1'-1,00 0 <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 />_KECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? 1 <br />YES NO riO 1 <br />, 1fJ-- fl _ <br /> <br />CQ~ORSJJ:. ~ ~ <br />L =~ to or\~~ . CYKO~>- <br /> <br />City License Registration . <br />*********************************** <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />****************************************** <br /> <br />BIITI.DER <br /> <br /> <br />~ :--. / I~ /Dr' <br />COMPANY 9 ../e_,-- \_, ( '(~ ( ."1'L{..., \.,.d;i ~ (Cc- L..~, ' <br />-... - ;;" State Cert. or Regist.' "7 ~ 7 <br />~~ 1'\..4./\ f L '/ City License Registration' <br />* ************************************** <br /> <br />Signature <br /> <br />SiQllAture <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />KECHAHICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />***********~****************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />