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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />//-ft-.rr., <br />;-3 c::? /t /1 <br /> <br />OWNER'S NAKE <br /> <br />EDEE <br />. <br /> <br />PHONE 'lKo1-d:J7L <br /> <br />k E.C K <br /> <br />, <br /> <br />OWNER'S ADDRESS _?7b3S" /licit/1ft- /t14r. <br />JOB ADDRESt09...J7h,JJS /VEtJ,&fL. !fv~. <br /> <br />ZEp)lYa. I:JfJ6f- fill)! P/I/?/\ <br />I <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' ~-:J.6-;;(J-O/dD-CJt)LJOD-- 0/90 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction ---..Addition --..Alteration ----.Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: V;ing1e Faaily <br /> <br />-Jt/F _, of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----.Restaurant & Health Departaent Approval <br />DESCRIPTION OF WOlUC: COtvCR.Lr~- s'n.E,b-b~/(1'14E- Sc.~, ~OM- /JLJ1~. R(!Jor <br /> <br />BUILDING SIZE: ::lIJX.)JX 'Ii/x/1. 7 '7~ <br /> <br />Square Feet,~ ~o 'J . Height <br /> <br />RESIDENTIAL: A'nACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br /> <br />$ <br /> <br />gg7f1.D 0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---HECllAlilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLUMBING GAS ROOFING <br />TYPE OF CONSTRUcnON: ~loclt ~raae _Steel <br /> <br />SPECIALTY ' <br />f} LfA ()) · Other <br /> <br />FIBISBED FLOOR ELEVATIOliS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />......................................**** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~~ .... ". . . cdKPANY /1d /l~tfJ'1, '.. <br /> <br />,~L State Cert. or Regist. I C~LO..s~bPO <br />_ _.~ -- City License Registration , / ~ () <br />'******...*.**************.*.**....****.*** . <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />.***.*....*..*...***.**.*..*......******** <br /> <br />Sismature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />...*.**.*.*..**.*********.**************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration f <br />....*...**.*********..*...****.**.******** <br /> <br />Signature <br /> <br />OTHER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />.*..**.******************.***.*.********** <br /> <br />APPLICATI01"~~~~,c=~:;") J?7n-~ ~ ..,,).~.'.... '. . <br /> <br />. '\ .'~~I:~. - . ~~ ' ' :1 of' "):'~ '. ~.. ~:, .. " <br />~ . <br />