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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME "P e t\J (\) i <br />OWNER' S ADDRESS 64d-. q <br />JOB ADDRESS "SA.rY\ €. <br /> <br />t-\ A. "-.)~ PHONE '( Bo' ~B8 ~ <br />\D+~ ~~"t - 2~\r)l{le.ni Us <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction --Addition ----^lteration V'Repair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />---'love <br /> <br />_Deaolish <br /> <br />---'l/F _, of Units ---'l/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---...Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: i~tt(L(o~ C2Jlf~ ~ ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ I ~J(){){) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />X MECHANICAL <br />)( PLUMBING <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$~400 <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />y <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block ~Fraae _Steel <br /> <br />Other <br /> <br />FDUSKED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUIIJ)~ OOIIPAIIY t( '{""..,;:, to", s:\-Cl "'-~ l \ ".,J :L.:, ~. <br />, (" State Cert. or Regist.' C ~<: - 0 ~'5l ~4- <br />Signat - '--., ~ -= City License Registration' e.s-- <br />**************************************** <br /> <br />ELECTRICIAN <br />SiQOature ~::? n'/l- <br /> <br />COMPANY N\~~\~ t; \'ec.-\{(:..\Q <br />State Cert. or Regist. . b.(?- - 00 I '344 '9 _ <br />City License Registration' ~\ \ <br />****************************************** <br /> <br />Signature <br /> <br />C c.-l0 <br /> <br />COMPANY CD\ b~ :S~rNr~ '-?\~lt,^ ~jN~ <br />~ State Ger<. or eBist. t "F- 00<01<,'1'-4 <br />o . City License Registration' /s-5 <br />* * *~***************************** <br /> <br />COMPANY ~" h a. \ <", G A. S. ~ A{ @. <br />State Cert. or Regist. . f\f1...B ~ 6Lt 3Q'-f5 <br />City License Registration . ~7 ~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />S4&natur~ f> ~ <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />***~************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />