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<br />APPLICATION FOR PERHIT <br />CITY OP ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~~l( Kl(~?f'-c:" <br /> <br />OWNER'S ADDRESS c/o teiner & Associates, <br /> <br />('~\''t( \0,~, <br />LEGAL DESCRIPTION: LOT(S) <br />3- d~~ ;)1 €- <br /> <br />PHONE ~~1'-OSCV <br /> <br />OWNER'S NAME <br /> <br />5012 Lemon st., <br /> <br />Tampa, <br /> <br />FL 33609 <br /> <br />JOB ADDRESS <br /> <br />2.(2 (~o(h\ L\ S ~ <br />BLOCK SUBDIVISION <br /> <br />7p~"'(.~( .~\J~ <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />PARCEL 1. D.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Hove _Deaolish UnLe.....- <br />PROPOSED USE: _Single Faaily _H/F _' of Units _HID <br /> _ec:-ercial _Indust. _Swim. Pool _Other <br /> <br />____Restaurant & Health Departaent Approval <br />DESCRIPTI011 OF IIORK: ~(,s1Y~of-12f!iJ{a1\lJrl- PrMc--'11 f'~ ~II! },,('hOllI5. .);;1 L.f- R~ <br />BUILDING SIZE: X Square Feet. 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 OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/;7'UILDII1G <br />~ELECTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />3~30 # OC) <br /> <br />Valuation of Total Construction <br /> <br />/~ <br /> <br />AMP Service <br /> <br />x <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 GAS RooPING <br /> <br />SPECIALTY <br /> <br />TYPE OP CONSTRUCTION: ____Block _Fr8lle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER /) COMPANY ~HGll~ ~J \:.~ fl,j .LTf- g Np1l{j~, <br />~ Il~ . State Cert. or egist. t L. (.,(.D6'iJfFoY <br />Signature . '/WAf., {j City License Registration' /~ <br />****************************************** ~ <br /> <br />ELECTRICIAN COMPANY t ~.J\~ \L G~dy(( I .-~ <br />&.~~ State Cert. or Regist. t 00//3'7 <br />SianAture I ~ City License Registration' J'7 3 <br />~ **************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />, State Cert. or Regist. , <br />City License Regis trat ton . <br />*****~******************.****~*...~.***** <br />, .,. '. <br />. , .. .... . <br /> <br />Signat:'t1re .': <br />· r....'. <br />f l; <br />1 ,. - "'J.... '1l'.W< :". " <br /> <br />APPLICATrOR"nPRovED <br /> <br />"'.. <br /> <br />.~, . <br /> <br />BY <br /> <br />PERHIT OFFICER. <br />