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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME .~, <br /> <br />W\L.L\AN' <br /> <br />MriRRDW <br /> <br />W A. u.A<:!E. <br />Y/?IVG <br /> <br />PHONE e r~ - ~j V\ Bo <br />l(J) ~ \/\At.l1" r \"" 1 \==\ A, ? ~ 5<.., 1 <br />2 GPtI.f?JJIL-LC;; ~/) uS TRI/TL ~lTRe <br /> <br />OWNER'S ADDRESS <br /> <br />4q O~ c::, . <br />CJo (P ff tAN <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) .5tf~ S,lt;; ItAtJ BLOCK <br />PARCEL I.D.' i1 t& tl. ~/)OO O/J/OtJ [JOC(J <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:XNew Construction _Addition ---^lteration _Repair _Install <br /> _Sign --1Iove _D~olish <br />PROPOSED USE: _Single Faaily _H/F _' of Units ..-KIB <br /> _ec-ercial ~Indust . _Swill. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: S1'/JeL .8i)ILt>IA/6S .to /lbUSG" fi SIj;EL f1l~iCIITI()Al 3i10f' <br /> <br />BUILDING ~tz'if&' ./5 I~ t.J{) I, :3/t1i)O Square Feet, 1t-~/tHeight <br />'5fklP (bo I J/U.x/' 16/77) 30'blt <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />~ <br />$ ,--~ 75. c/o tJ. <br /> <br />~ c.o 0 AtIP Service <br />$ /0, 5CJo. 00 <br />, <br /> <br />PERMITS REQUESTED <br />~j <br />Valuation of Total Construction <br /> <br />-----..ELECTRICAL <br />_HEGIIAIIlCAL <br /> <br />.x..' <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />~LUKBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _Block _Fraae LSteel Other <br />FINISHED FLOOR ELEVATIONS:7S':52J FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.................................********* <br /> <br />SignAture <br /> <br />COMPANY ~W\~~u J "t.s ~MJ " 'Nt. <br />~ ' 1~ State Cert. or Regist.' ~c::.. 'f.~, <br />lJJ I City License Registration' /~/ <br />****..~.....*.*.****...........***...**. <br /> <br /> <br />CONTRActOR SECTION' <br /> <br />COMPANY '8fU Ltl CJ2r6.-J ~,(.fS-r. .1:1'() e- <br />State Cert.or Regist. . <br />. License Registration' -.39 'ff <br />. .............................*.......... <br /> <br />BUIIJlER <br /> <br />r;Jn t . <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />ftJ \. <br /> <br />PLUKBER <br /> <br />COMPANY IJeMIt,rO? PeL{ 1'1 6i'~ cO <br />State Cert. or Regist. . <br />City License Registration . /' ~ ~ <br />\ *...... * .......*......***...*.........*. <br />fl " r (1' I -', <br />COMPANY ~O/V /f/ U S iJ. 5- ('C) l.J /{Jj .1/1 tk/ ..../ t- <br />~( ;) /... ~ State Cert. or Regist. . <br />~ ff/0c;7C )1 City License Registration' -;t/ 2- <br />/ .,...... ..............**........*........ . <br /> <br /> <br />Signatute. <br /> <br />MEGBANlCAL <br /> <br />Signature <br /> <br />omRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />..*..*...............*...........*.....*.. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />'110WA~ /1f.-~ <br /> <br />PERHIT OFFICER. <br />