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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />REFLECT 10/1/ S P/.l / ~fA I TII! (' _ <br />OWNER'S BAKE -1 ~ f?.y ~ JG' Vir, rJ V ILL (; <br />OWNER'S ADDRESS S2/s B~(2N IJIJ-eITe... DJ7_ <br /> <br />L A PiA 2 A S/lfJjJ! AJb ~--AJTl:--R <br /> <br />PHONE <br /> <br />g-/~- /6!' - ~lfs8 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESClUPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />1/-2~.~;:;'J <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br /> . VAlteration <br />WORK PROPOSED:_New Construction ----..Addition ~epair _Install <br /> _Sign --"ove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units ---1l/H <br /> Leo-ercial _lndust. _Swia. Pool _Other <br /> <br />~estaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 2CJ XsO , <br /> <br />I <br />fO Dc) Square Feet, c::y Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHKERCIAL: ATTACIl (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br />~LECTRICAL <br />tJ AtlECBANlCAL <br />v},LutlBING <br /> <br />$ <br /> <br />~ 0000 D <br />) <br />IOD <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />/ <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~raae _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRucnON: --..Block <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA., <br /> <br />YES HO <br /> <br />.......................................... <br /> <br />CO'TR4CJOR SECTION <br /> <br />BUlWER <br />Signature ~ IJ <br /> <br />cotIPANY '/ C S .~ f Er7-(:::.J- AIj)O CO. <br />. State Cert.' or Resist. . Cl'C <:> I 110 J h <br />WI::: /""-ZC'L City License Registration' 4.(2() <br />.......................................... <br /> <br />" <br /> <br />ELECTRlCIAR <br /> <br />COMPANY ~ () V G.LA-5 ELF-c.T\h.~C: <br />n !\ . ~ () State Cert. or Regist. . <br />\i1.~~ t:J~ City License Registration' ~7-' <br />... ..................................... <br /> <br />SianAt.ure <br /> <br />PLlIMRRR <br /> <br /> <br />II +-, '{2 PLUif~)~ <br /> <br />te Cert. or Resist. . <br />City License Registration' J In Y <br />........................... <br /> <br />Signature <br /> <br />ItECBANICAL <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 Resist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />YJ ~ )11 ff7!-1cJ <br /> <br />PEBHIT OFFICER. <br />