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<br />". ,~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />Ef) W/fIUJ V /te.1I1 S <br />~"r- 79 .;J'J1/Jr <br />S'Rm ~ <br /> <br />PHONE <br /> <br />7Y;J-J27? <br /> <br />OWNER'S NAKE <br /> <br />OWNER'S ADDRESS <br /> <br />AlEp)~.,- lJ~, <br />Z'cPR'/,e RJ 1J6-~ <br /> <br />/Hj H ,P/I,(K <br /> <br />LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION <br />PARCEL LD.t ..] -;)b -.:J / - t//.fL> - t9~o - CJ ?9ZJ (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction -"ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_H/F _' of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swu.. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE:, tJ <br /> <br />SI..J5f) " <br />X /..L. Ips <br />. , <br /> <br />C 1'1,e PtJ/C. J <br />Square Feet. 9~/O'Beight <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHH.ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />,/ <br />_BUILDING <br /> <br />$ <br /> <br />;2;;'10, D& <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <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 <br /> <br />ROOFING <br />~ <br />-':"Fraae _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />/It-U!I1 . <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 />Signature <br /> <br />CONTRACTOR SECTION' <br /> <br />, L COMPANY Au.l}J. Ii( ", <br />/J/? / ,;.-- State Cert. or Regist. I ~CL:> :/J!j,?f) <br />~ City License Registration I ~~~ <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />SiRnature <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration , <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />KECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />APPLICATIoji' APPRO'Vim BY- <br />ii <br />i ,. '~. -, <br />:'~"~Oii:l~!.,:c~.:..... <br /> <br />~~l!j,.CER' <br />.~'..:\'.."IJ .. <br />......\0. e..' T ; <br />