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<br />APPLlCAnON FOR PERtlIT <br />CITY OP ZEPIIYRH.IUS <br />BUILDING DEPARntENT <br /> <br />OWNER · S lIAtIE <br /> <br />Diocese of St. Petersburg <br /> <br />PHONE <br /> <br />81:5)344-1611 <br /> <br />OWNER'S ADDRESS <br /> <br />P.O. Box 40200 St. Petersburg, PIa <br /> <br />JOB ADDRESS <br /> <br />38715 - 4th Ave Zephyrhills, PIa <br /> <br />LEGAL DESCIUPI'I.ON: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:---.A-New Construction _Addition ~A1teration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: Siogle Faaily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_H/H <br />do~c1 C)Ffr(.~bther <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Rest:aurant. 6: Bea1th Deparment Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~re Peet., <br /> <br />Height <br /> <br />RESIDERTIAI. : <br />cotDtER.CIAL : <br /> <br />An-ACB (2) PLOT PLAliS 6: (2) SETS OF BUILDING PLANS 6: (1) SET ERERGY FORHS. <br />A'l'TACII (3) SETS OF BUILDING PLANS 6: (1) SET ERERGY FORIIS. <br />PROPERTY SURVEY REQUIRED FOR ALL lOl.W CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 22.000 <br /> <br />Valuation of Tot:al Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlIICAL <br /> <br />$ <br /> <br />Valuation of lIecbanical Installation <br /> <br />_PLlJIIBIBG <br /> <br />GAS <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSnmcnOR: _Block <br />G .SHED FLOOR ELEVATIONS: FI'. <br /> <br />_Fralle _Steel <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />COliI'RAcroR SECTION <br /> <br />COHPAIIY ~.N" ~/'-<c/C' ~_ <br /> <br />~Z ii.,~ S~te ~ri. or R~gist." C ('''' C <br />C1ty L1cense Reg1strat1OD , <br />.......................................... <br /> <br />~.roc:. <br />eY3 P 2L <br />j/O <br /> <br />Signature <br /> <br />F.I.F.CI'RI.CI.4R. / /Ji cotIPARY r;r? ( T (/.-., S' \-i/:~~~.(~ ,. c <br />~~4 b~! (-/' / State cert. or Regist. , /1i-:;//_~ /7 <br />. , " I - ., ... . I ~ 1'- / <br />S1P1'U1t e L ( '. tif '.. <;I"-V/ C1ty L1cense Reg1strat1on' / ,") I <br />'f_ ~;Q .. . /f ----........*....*..-*..-..-..**..** . . <br /> <br />PJ.QII\ER CQ.~~ ......AIIY ~~ fY\~""L ?~ <br />State Cert. or Regist. , , G"f '((g <br />Signature /1/4 City License Registration , J_; ~ "3'~ <br />.......................................... ~, <br /> <br />IlECllARICAL . . cotIPARY <br />". (~..><> ~su.te Cert. or _1st. . <br />'Signature. ( /';? /" . . City License Registration t <br />< ............................................................... ff 3 <br /> <br />. 5~ <br /> <br />OTRKR <br /> <br />........... <br /> <br /> <br />Signature <br /> <br />414 <br /> <br />APPLICAUOR APPROVED BY <br /> <br />PERKIT OFFICER. <br />