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<br />APPLICATIOJJ FOR PERKIT <br />CITY OF UPuIKfllT.I,.s <br />BUII.DIIiG DEPAImIEIO' <br /> <br />OWNER · S RAtIE <br /> <br />City of Zephyrhills <br /> <br />PIIOIiE <br /> <br />813-788-2313 <br /> <br />OWNER' S ADDRESS <br /> <br />5335 <br /> <br />8th Street, Zephyrhills, FL <br /> <br />JOB ADDRESS <br /> <br />Shepard Park - Highway 301/6th Avenue <br /> <br />LEGAL DESCRIPl'IOlIII: UJI'(S) 9-11 <br />0010-01600-0000 <br />PARCEL LB.' <br /> <br />~SOBDIVISIOII <br />(S 14 T 26 R 21) <br /> <br />- <br /> <br />WRIt PROPOSED:_lIev Construction _Addition _Alteration _Repair _Install <br /> <br />S. <br />- I.gD. <br /> <br />_tIove <br /> <br />_ne.olish <br /> <br />X Relocation <br /> <br />PROPOSED USE: <br /> <br />Single Fam.ly <br /> <br />_KIF <br /> <br />_, o.f Unit:s <br /> <br />X Modular <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swa. Pool <br /> <br />Other <br /> <br />Rest:aurant &: Health DepartJEnt Approval <br /> <br />BUILDIIIG SIZE: 2 6 <br /> <br />x 28 <br /> <br />728 <br /> <br />~e Feet. 10 '(MOL) one storYHeight <br /> <br />RESIDEIITIAL: <br />COIttIEKCIAL : <br /> <br />A'lTAaI (2) PUJI' PLAIIIS &: (2) SEI'S OF BUII.DDIG PLAIIIS &: (1) SKI' EllERGY FORKS... <br />A'lTACH (3) SEI'S OF BUII.DDIG I'I..MfS &: (1) SKI' EIIERGY fORKS..... <br />".OOPY' OF COWl'RACJ' R.IIQUIRIID. <br /> <br />PI!RKIlS REOUESTED <br /> <br />-LBUILDING <br /> <br />$ Waived <br /> <br />Valuation o.f Total. Construction <br /> <br />-LELECTRIGAL <br /> <br />AftP Service <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1tECllAllIGAL <br /> <br />$ <br /> <br />ValuaUon o.f Kecbanica1 Inst:a1laUon <br /> <br />-LPLUtlBIIIG GAS ROOFllIG <br />TYPE OF OONSTR.1JC'I'IOII: ~Bloclt. _Fn:.e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FHIISBED FLOOR. ELEVATIOIIS: <br /> <br />Fr. <br /> <br />IS PROJECI' IN FLOOD ZOIlE AREA? <br /> <br />YES NO <br /> <br />.............................................................................. <br /> <br />aD'I'RACIOR. SECJ'ION <br /> <br />RIITI.DF.R ~~ ~~ aJ!IPAIIY EM Enterprises <br />-7 ' St:ate Cert. or Regist:. I <br />Signature ---. City License Registration , <br />............................................................................... <br /> <br />RI.F.CTRICIAN ~ <br />SiPn~~~ ~~----;f; _~Q <br /> <br />aJIIPAlIY Bob Winters <br />St:ate Cert:. or Regist. , I{ <br />City License Registration , <br />............................................................................... <br /> <br />.PLUIIBER. ~ Bob winters <br />~ ~ ~eT~rt. or Regist.' 70 <br />Signature ~ h/"<:..- City License Registration , <br />................................................................................ <br /> <br />ftItCHAlIIGAL <br /> <br />aJIIPMY <br />State Cert:. or Regist:. , <br />City License Registration , <br />............................................................................... <br /> <br />Signature <br /> <br />0T'All:R ~ tJ & r= WllPAlIY <br />~ /Ja:;. Stab! Cert. or _to . <br />Signature r--" City License Registration , <br />............................................................................. <br /> <br />APPLICATIOII APPIlOVIl'.D BY <br /> <br />PERIIIT OFFICER. <br />