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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAttE <br /> <br />c;".-;>/.J. (.C7-77e' 4, L."""'AI <br /> <br />PHONE 904--. 567- Cf 7/2 <br /> <br />OWNER'S ADDRESS <br /> <br />0YOJ' OA<C~s7 t~/ <br /> <br />JOB ADDRESS <br /> <br />..sA/lf'? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />fO <br /> <br />BLOCK <br /> <br />SUBDIVISION OAf':- C:'P-7"'>! b7A7r..s .Lr- ) <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL 1.D.' f" B s ~ . PIr'" .oV7 I- 4-.? <br /> <br />WORK PROPOSED:_New Construction _Addition -Alteration ~epair _Install <br /> <br />_Sign <br /> <br />----Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----HI F <br /> <br />_' of Units ----HIH <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~estaurant & Health DeparbDent Approval <br /> <br />DESCRIPTION OF WORK: ..7 N 5 7/.1/ <br /> <br /> <br />i <br />7't"'A b ,tVcJtJD "q-,-vr; <br /> <br />W7PA2/'O~ <br /> <br /> <br />? ~/(' /'7-/l/L'r::" <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~ <br /> <br />$ <br /> <br />PERMlTS REQUESTED <br />90;/}' 100 Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGllAlfICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE QF COBSTRUC'l'IOB: _Block _Fraae _Steel <br /> <br />W06P ., CHAltJ Other <br />\,/..;<. <br /> <br />FINISHED 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 />BUILDER GOtIPANY <br />State Cert. or Resist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RJ.F.CTRICIAN COMPANY <br />State Cert. or Regist. , <br />SignAture City License Registration , <br />.......................................... <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />tlECBANlCAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />COMPANY *.... d/' t.. L. /,~.-$ %..y''-''- C;;, IAh <br />State Cert. or Regist.' 6.5,1> .92- /0265 <br />Signature City License Registration' 7" .2 7 <br />.......................................... <br /> <br /> <br />APPLlCATIOB APPROVED BY PERHIT OFFICER. <br />