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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARntENT <br /> <br />OWNER'S NAHE <br /> <br />CAROL M. BROWN <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS 15760 RIVER RUN DR. SPRING LAKE , MI. 49496 <br /> <br />JOB ADDRESS <br /> <br />6642 NORTH LAKE DR. <br /> <br />ZEPHYRHILLS <br /> <br />LEGAL DESCIUP'I'ION: LOT(S) <br />PARCEL I.D.,-2 ..;26 -:LJ - /.::l -C) - <br /> <br />BLOCK <br /> <br />SUBDIVISION SILVER OAKS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSBD:~ew Construction ---..Addition ----..Alteration ---...Repair ,_Install <br /> <br />_Sign <br /> <br />---'love <br /> <br />-1)eaolish <br /> <br />PROPOSED USE: _SiDgle FaldJ.y <br /> <br />---.J'J./F _' of Units ---.J'J./B <br /> <br />_ec-ercial <br /> <br />_Indust. ..1L.Swia. Pool _Other <br /> <br />-----Restaurant & Bea1.th Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />CONCRETE POOL <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ArrACK (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHKERCIAL: ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDING <br /> <br />$. 10,000.00 <br /> <br />Valuation of Total Construction <br /> <br />RT.~cnuCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1tEaIAIIlCAL <br /> <br />$. 2000.00 <br /> <br />Valuation of Kechanical Installation <br /> <br />----..PLUMBIliG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ___lock _Fraae _Steel <br /> <br />Other <br /> <br />FIlIISHED FJ.OOR ELEVAnOBS: <br /> <br />FT. <br /> <br />IS PROJECT IIi FLOOD ZOBE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTIOB <br /> <br />BlITIllRR <br /> <br />Si_tore -J ~ <br /> <br />cotIPABY HOMETOWN POOLS <br /> <br />1"\/1 i ,,^ State Cert. or Regist. 'CPC07"'i"'i47 <br />~ City License Registration' 20 <br />.......................................... <br /> <br /> <br />COMPANY COMM. SER. <br />State Cert. or Regist. . <br />City License Registration . <br />...................................***.*.. <br /> <br />t)b 1:2./<-/1 <br />r::lJl '" ' <br /> <br />PLUMBER <br /> <br />Sipa_e ~~ <br /> <br />IlECBARICAL /1 <br /> <br />COMPANY HOMETOWN PIDOLS INC. <br />\ State Cert. or Regist. . C.f1<:..<J~~ Y ~ <br />~ City License Registration . <br />....................*...........*..*.**.** <br /> <br />Siguature <br /> <br /> <br />COMPANY HAWLEY ALUM. <br />State Cert. or Regist.' fiYtJ~::_~tH'/ <br />City License Registration' S~ <br />.................*....*...**.......*..**.. <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />...............*..*.....*................. <br /> <br />Siguature <br /> <br />APPLXCAUOH APPIIlIVBD BY J1,. -;>UA 0, lJJ {h'-~ <br /> <br />PERKIT OFFICER. <br />