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<br />APPLICATION FOR PERKlT <br />GIlY OF ZEPIIYRBILLS <br />B1ITLDIJiIG DEPA.RIIIEIIT <br /> <br />Zephyrhills Bottled Water <br /> <br />PUOB <br /> <br />813/783-1959 <br /> <br />OWNER'S IiAttE <br /> <br />OWNER'S ADDRESS 4330 - 20th street, Zephyrhills, FL 33540 <br /> <br />JOB ADDRESS 4330 - 20th street, Zephyrhills, FL 33540 <br /> <br />LEGAL DESCIUPI'IOII: IDI'(S) <br /> <br />BLOCK <br /> <br />SOBDIVISIOII <br /> <br />PARCEL LD.t <br /> <br />WORK PROPOSED:_lIev Construction _Addition _Alteration xxx ;Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_"/B <br /> <br />~~rcial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Depar-=-eIlt Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItKERCIAL : <br /> <br />A1TAGII (2) PLOI' PI..UlS & (2) SETS OF BUII.DING PLUS & (1) SEt' ElIERGY FORMS. ** <br />ATI'ACB (3) SETS OF B1ITLDDilG PLUS & (1) SEI' EHRGY FORKS.** <br />**OOP1' OF OONTRACl" REQIlIIRED. <br /> <br />PERKlTS REQUESTED <br /> <br />_BUILDIBG <br /> <br />$ <br /> <br />3,785.00 <br /> <br />Valuation of Tot:al Construction <br /> <br />_ELEC'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />V.R.E.C. <br /> <br />--.JIECHAIUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Inst:allation <br /> <br />ROOFDIG <br /> <br />xx <br /> <br />SPECIALTY <br /> <br />_PLUKBIBG <br /> <br />GAS <br /> <br />TYPE OF OOBSTRUC'l'ION: ~Block _~ _Steel <br /> <br />Other <br /> <br />FDIISBED FLOOR ELEVATIONS: <br /> <br />PI' . <br /> <br />IS PROJECT IN FLOOD :mIlE AREA? <br /> <br />xx <br />YES BO <br /> <br />****************************************** <br /> <br />COlII'RACIOR SECl'IOR <br /> <br />CO!IPAft' <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />BmT.DER <br /> <br />Signature <br /> <br />SiPII~ture <br /> <br />CD!IPMiY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />ELEC'fRICIAB <br /> <br />CO!IPAIft <br />State Cen:. or Regist:. I <br />City License Registration I <br />****************************************** <br /> <br />PLDKBER <br /> <br />Signature <br /> <br />CD!IPANY <br />State Cert:. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />KEalAliICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />~/2 CD!IPARY Wi' :d',E're rinklers In <br />.~ State Cert. ~.~.L~l',~; 837958000191 <br />City Licens Registtation I 379 <br />...... .**_.........**.**"*1~~... <br /> <br />OT'IIF.R <br /> <br />APPLICATIOB APPROVED BY <br /> <br />PERKIT OFFICER. <br /> <br />~c..fLe_L""'='" / -~-- /1- 9-3 <br /> <br />-v 'J~ J)~~Jl ~~ 7 <br />7J~y~"",_ ~~ <br />