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<br />APPLICATION FOR PERK1T <br />CITY OP ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />!p q v r: d Sl rl'f ~)-; 4 <br />f:g C{,:;<, ,/ t ~ ~ r/. <br />~~( <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BWCR SUBDIVISION <br />~ I ,? / 1/ - 0 /31 <br />PARCEL J.D.' ~ -" 6 - 7 ....<9<0/rJ - 00< 10-0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____De.olish <br /> <br />PROPOSED USE: ____S ingle F8IIily <br /> <br />____HIF <br /> <br />____, of Units _M/H <br /> <br />_eo..ercial <br /> <br />____Indus t. <br /> <br />_Swim. Pool _Other <br /> <br />____Restaurant~Health Department Approval <br />DESCRIPTION OP WORK: ~ ::2.. V~ 11--/ C- <br />( <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 OP BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OP 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 <br />~ <br />~OS-({)'" <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MEGllAlfiCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUKBING <br /> <br />GAS <br /> <br />RooPING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fr8lle ____Steel <br /> <br />Other <br /> <br />PIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION' <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br /> <br />c7Gc{ <br /> <br />COMPANY Fut (J~!:6 <br />State Cert. or Regist. f <br />City License Registration t <br />******************************* <br /> <br />/$"tf <br /> <br />PLUMBER <br /> <br />COHPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />HEGHANI~ COHPANY r..~.(J s ~... C.a.~v I-~ ~ <br />:9// I J /' State Cert. or Regi t. f ~ t!J .>"1/ :::z.' <br />Signature :r ./(J II --r. City License Registration' 7 / <br />~ L ****************************************** r <br /> <br />JlIB.Im (_/ COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PElUJIT OFFICER. <br />