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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(ff.e.6 9-r27-YY <br />~ ~ :t:, ,F jJ )1 J11 <br /> <br />L_ - ----------=Ii <br /> <br />OWNER'S NAKE~,0; <V ;.;: 1//7 N # <br />OWNER'S ADDRESS :5 ) 9 J S- flYt/Il/Tl3lA/ 2/ <br />JOB ADDRESS ~") 'f I c;- ;?dO A/rAJ V 1?cI- <br /> <br />PHONE 71'.2 -.5 ~S-1 <br />?1=?f'iR~/LJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ~ddition ---.A1teration -.Jlepair ~ta1l <br /> <br />_Sign <br /> <br />----1Iove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Fsaily <br /> <br />----1I/F _' of Units ----1I/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~~taurant & Health Departaent Approval <br />DESCRIPTION OF WORK: L/V.$-rnJ..L ,d/J//I/V~ ~f?~ _ (!OP?fZESS/O}l./ <br /> <br />.sVSTc.-m <br />, <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />AtTACH (2) PLOT PLANS & (2) SETS OF BUlLDIRG PLANS & (1) SET ENERGY FORMS. <br />ArlACH (3) SETS OF BUlLDIRG PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />--BUlLDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---lIECIWllCAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUKBIIiG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF mRsTRucnoN: .-Block _Fralle _Steel <br /> <br />Other <br /> <br />FlRISBBD FLOOR ELBVAfiORS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BITTT .DBR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RT .RCTRICL\I!I <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiOOAture <br /> <br />PLUKBBR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />KECHANlGAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OWB COIlP~ u~ ~< ~~ <br />. >>~ State Cert. or R gist. . '/1//Jf.?C-ItJt)QU{')() <br />Signature ((,~ ~.A/l/L City License Registration' ~-'3.1 <br />~ ............~......~.......................' <br /> <br />APPLICATIOR APPIIOVED BY J1 ilAu'd IIJ .vr~ PEBIIIT OFFlCEll.. <br />