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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S tWIK c;TV O~ 2r...~4y'~L/ 'S PHONE~/:3) 782 ~7S99 <br />OWRER'S ADDBBSS 5.3~ 2# $772<..sm-; ~S-~#y~~~ ~~ 33.910 <br />JOB ADDRESS 37219 ~~~ ~4YJ ~ z.Z~~~/L'L.::s ~A/f 3~~.o <br /> <br />LEGAL DESCRIFrlOR: I.OT(S) <br /> <br />B~UBDIVISION <br /> <br />PARCEL L D.' (OBTAIN FROM. PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew C<mstruction --....Addition ---..Alteration --Repair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />~eIIOlish <br /> <br />PROroSEDWE: ---fl~eF_ily <br />~ec-ercial <br /> <br />----1t/F _' of Units --.Jf/B <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----Restaurant Ii Beal.th Depsr..ent i!lr:,Vs! <br />DESCRIPTIOR OF WOU: 5LL.1/ ~~/A/~ /' <br /> <br />l' <br /> <br />BUILDIRG SIZE: <br /> <br />, " <br /> <br />x <br /> <br />Square f'eet t <br /> <br />Height <br /> <br />RESIDBRTIAL: ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SBT ENERGY FORMS. <br />COttHBRCIAL: ArrACH (3) SETS OF BUlLDIRG PLAlS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUlllBD FOR ALL. NEW CONSTRUCTION. <br /> <br />PERKI.TS REQUESTED <br /> <br />~UILDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RI.RC11UCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.B.C. <br /> <br />--.JfECIWO.CAL <br /> <br />$. <br /> <br />Valuatilcm of lIechanica1 Installation <br /> <br />---..PLUHBIRG <br /> <br />GAS <br /> <br />ROOfillG SPECIALTY <br />4N~/~~N/~ <br />-Pralle _Steel Other <br /> <br />TYPB OF OOIISTJlUcnOR: _____lock <br /> <br />FIBlSHED .FLOOR BLEVAnORS: <br /> <br />Fr. <br /> <br />IS PROJECT IR FLOOD ZONE AREA! <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BmlJlER <br /> <br /> <br />CORTllACTOR SECTION' <br /> <br />lDIFANY ~~~~ <br />State Cert. -- -,... .t.' C. O//ICJI <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RI,RCTR.lCIAR . COMPANY 84I7l:=-;:) ~ LL..sz::.JkU <::.. <br />~ ~J3. ~ ~tate Cert. o. N.~ist. f ~=-->/.30"" <br />Si - ~ __ m_ 'f'.. _ ity License aegistroUon f I Z ,p' <br />. .......... ........................... <br /> <br />PLUMBER <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECllARICAL <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />omRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnON APPIlOVED BY <br /> <br />Y7 ~~ it; ~~~ <br /> <br />PERHIr OFFICER,. <br />