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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br /> <br />OWNER'S N~r. ~ I S. &dt <br />OWNER'S ADDRESS ltl is LEL..J<. \1\9. Kd. <br />JOB ADDRESSI~~ 5'th 811'€. <br /> <br />PBONE21:;) ~~d, Q8~5( <br />z"~hJ\~ R. 33::: .0 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D..-1J. ~'a '~I 0010, l(q 'l~O <br />WORK PROPOSED:_New Construction LAddition <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />--..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--..Hove <br /> <br />_DeJIOlish <br /> <br />'" <br /> <br />PROPOSED USE: _Single Faaily <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 Depar~ent Approval <br /> <br />('. H A LJn:L{- <br /> <br />Add <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 REOUESTEq <br /> <br />_BUILDING <br /> <br />$ <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 />----1IECHAlfICAL <br /> <br />00 <br />$-d.aC(J , <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIBISHED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />'CONTRACTOR SECTION <br /> <br />BUILDEIl <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Si~Ature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />~ <br />Signat re G.. <br /> <br />rKv.e <br /> <br />COMPANY <br />State Cert. or gist.' <br />City License Registration . <br />****************************************** <br /> <br /> <br />01'IIRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />