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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />G 14 yr L;/ s-' .IU; Tj, <br />3 S~ (( ~~~--tIy <br />S;z;t~ /~ ~5~, <br /> <br />PHONE 7 f3 C:;.. '7;;'" S- ? <br /> <br />OWNER'S ADDRESS <br /> <br />p~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~(J,;{IO <br />PARCEL I. D.' ~ II, ;L ~ -;2.1 - CJ 0/0 - / q 9 "0 (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DellOlish <br /> <br />PROPOSED USE: _Single FUlily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTIOlll OF WORk: 5 7e"" J? U,L./ ~C <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 FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <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 Florida Power Corp. <br />f:;2? SCO- ~ Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_MEGBAlfICAL <br /> <br />_PLlJMBING GAS 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 />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration' <br />.......................................... <br /> <br />~ COMPANY /10 (( -ro ;J <br /> <br />State Cert. or Regist. , <br />;t{, -" City License Registration' <br />.......................................... <br /> <br />Signature <br /> <br /> <br />u <br /> <br />6/00 J('0 <br />1( <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br /> <br />~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />COIlFARY ~:.v~ Ca,-.;d <br />State Cert. or egist. f tgeJ:..-y' /;Z <br />City License Registration , 71 <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />APPLlCAITON APPROVED BY '71'~~~ <br /> <br />PERMIT OFFICER. <br />