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<br />APPLICATION FOR PERltIT <br />CITY OF ZEPBIRHILLS <br />BUILDING DEPARTHENT <br /> <br />OIlNBR'S - MIf- CJ'll'fM F1 rl ~/nd T ;q/'-)T'1-e~ /-/cJ0I~B <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS c;& z ~ /l/t;.i(TH AA/-(-e mR, <br />LEGAL DESCRIPTION: LOT(S) ~<:;-' BLOCK <br /> <br />c <br />, :z e;pH'I1I , /.. L s. . FLA , <br />, I <br />SUBDIVISION S / ~U P ~ CJ/! Ws.. <br /> <br />PARCEL IeD.' (OBTAHI FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:hew Construction ---..Addition --Alteration --..Repair _Install <br /> <br />_Sign <br /> <br />---...Hove <br /> <br />-1)eaolish <br /> <br />PROPOSED USE: _Single Fsaily <br /> <br />----Jt/F <br /> <br />_' of Units ----Jt/H <br /> <br />_ec-ercial _IOOust. _Swia. Pool Other <br />~m ,'p{ Urv"-' <br />'i)....)^l.. En t ~o ~u R.. of?...., <br />Restaurant Ii: Health Departaent Approval f <.. v <br />DESCRIPTION OF WOlUt::::::w? ST,4LJ- A>02. ..t=nrL-o<:;,~~ .0;3(' .firr'>rj;Y ~4;' <br />BUILDING SIZE: '3 <:.. X ~ s-, & c,; Square Feet, /0 Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUlLDIliG PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTAW (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COBSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />-BUlLDIliG <br /> <br />$ ~II~ .20 <br /> <br />Valuation of Total Construction <br /> <br />IU.RcrJU.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---llEClWlICAL <br /> <br />$ <br /> <br />Valuation of llechanical Installation <br /> <br />-PLutlBIliG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF OORSTRUcnON: ---.Block _Fraae _Steel <br /> <br />Other <br /> <br />FI1IISBED PI.OOR ELBVAnORS: <br /> <br />Fl. <br /> <br />IS PROJECT IIi FLOOD ZONE AREA1 <br /> <br />BIJII.DRR -?~ ul <br />Signature~~ <br /> <br />.......................................... <br />PERRY ENTERPRiSES OF PASCO. INC. <br />CONTRACTOR SECTIOB P.O. 80 x 18 5 <br />.' , .' Elfers, Flcri'!il 3~GBO <br />?e~~Y:' ". . 'cdtiPANY (813) 84()-8793 <br />~ State Cert. or Regist.' Kx 00 s-~ 5"/9 <br />. ~, City License Registration . " <br />~......................................... <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />YES NO <br /> <br />IU.RCTRICLUI <br /> <br />SionJlt.nre <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Reaist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlEClWlICAL <br /> <br />COKPANY <br />State Cert. or Reaist. . <br />City License Reaistration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnOB APPROVED BY <br /> <br />PERltIT OFFICER. <br />