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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S _ fh, I 'f C <br /> <br />OWNER'S ADDRESS '3~()3tf LAu.~D/J. ioo~ <br />/ <br /> <br />JOB ADDRESS 38'03L.f LI'1~Ad//?/9 LOG;:? <br />, , <br /> <br />LEGAL DESCRIPTION: LOT(S) I'l.( BLOCKvAb SUBDIVISION ('() / t;O <br />PARCEL LD.' (J) <900.0 (!) L$O (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:-0'ew Construction ~ddition ----Alteration --Repair _Install <br /> <br />S~llh <br /> <br />PHONE <br /> <br />77~?'6'O~/ <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Fmlily <br /> <br />/ <br />_H/F _' of Units ~/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--Restaurant & Health Departaent Approval <br /> <br />X:#si~/IA-r!(l>~ O-r ~b:h !t$f'5' <br />BUILDING SIZE: )8' X hC) . Square Feet.!{jO Height <br /> <br />DESCRIPTION OF WORK: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COttHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />PERMITS REOUESTED <br /> <br />$ 1 35'C;) yO C? <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 />---1fECIlANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 />PLUMBER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />ClIIIPAIlY cS; JA/R{ fp hkUSIA.JJ <br />State Cert.or Regist. , <br />City License Registration , <br />................................. <br /> <br />-Lvc. ,. <br /> <br />BUILDER 'jt C <br />Signature , . ~ /L./P)Y) <br />....... <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />'0 <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />..................*.*........*..*. <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regis . <br />City License Regist at <br />................................. <br /> <br /> <br />~~, <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />