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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />G'r\ <br /> <br />Of <br /> <br />2U~'1~\-+\\...L ~ <br /> <br />PHONE <br /> <br />7 'R"L- 1 S-'1 ~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS ~ 1 ~ \ q <br /> <br />L..., €..A ~ e...IL <br /> <br />il's"" <br /> <br />Ze.i'"'t'('r\-\'-L~ I k. <br /> <br />3 3.SL\ \ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br />00/0 16~()O OO}D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL 1.D.' <br /> <br />03 J-0 ).J <br /> <br />WORK PROPOSED:XNew Construction _Addition _Alteration _Repair _Install <br /> <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _, of Units _M/H <br /> -X-eo-ercial _Indust. _Swim. Pool _Other <br /> _Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />YMCA <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: . ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: 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 />$ <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 />_MECHANICAL <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 _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 />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY C ~\J~~ ~~,,-\E:-IL~ Co,^&TYLuLT\ 0 A) <br />State Cert. or Regist. , R.C""l ("')004 b b 3 <br />~ ca.----.Q.. (\ )J... _ ~ City License Registration' 32- <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAB <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />SiQOature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />~. <br />MECHANICAL L COMPANY 5"' c? ~ P'T' 5 D (~'c;c C> (/V[ If. <br />State Cert. or Regist. . 5 <br />Signature ~~~ City License Registration , <br />. * * ************************************* <br /> <br />r <br /> <br /> <br />/, dIU" J ,{' <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />