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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S ADDRESS <br /> <br />~UJ E ././ 6- J.. E <br />\"'?R ~-3 5 '/-f}N S / /v9 <br />9/-,EGP>J NtJLLo(~/ <br />~ a )< bO BLOCK <br /> <br />PHONE <br /> <br />OWNER t S NAKE <br /> <br />/:J'V <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction ~Addition _Alteration _Repair _Install <br />_Sign _Kove _Deaolish <br /> <br />. <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Department Approval <br /> <br />(Y ~.N e. Iv- e;+ c.- f A-i7 () <br />BUILDING SIZE: ;t Y X) 6 <br /> <br />Square Feet..:2 VQ Height <br /> <br />-- <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 />_BUILDING <br /> <br />$~O~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction .... <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECIIAIIlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF alNSTRUC'l'ION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED 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 />./ <br />/ <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />RUTl.DER <br /> <br />" <br /> <br />III( <br />f <br /> <br />ELECTRICIAN COHPANY <br />State Cert. or Regist. , <br />SignRture City License Registration , <br />****************************************** <br /> <br />PLUMBER COHPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COHPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />************~***************************** <br /> <br />OTRRR COHPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />