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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-g'/i,,(ffll,lZ/l-J ~.e-!r=:L/ <br /> <br />, <br /> <br />OWNER' S ADDRESS 3 9tJ 3 9 tfAt~.P /.#/1- / /1tJE 2-e..e:JA v/' k //r <br />/ . <br />89039 t!.I?e.lJI4IHI ,.4p1E 2e~Av".~//s ,F/ 33S-c,Lc;)' <br />, , <br /> <br />SUBDIVISION ~)1 S~ ~ {! ~5' c )()b <br />, . <br /> <br />PARCEL 1.D.' /3- .::2t,'- d:</ - 0 loa - OC)Oct::) - 0 j6cOBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~Addition _Alteration _Repair _Install <br /> <br />OWNER · S NAME <br /> <br />PHONE 8/':3 7 Y 3 ;Z sL (, <,L <br />/7 33'~f?O <br />, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />_Sign <br /> <br />-"ove <br /> <br />_Deaolish <br /> <br />:P' <br />L. of Units _H/H <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: ;:s ht tI A B 0 11. f S 1/ E TJ <br />. <br /> <br />BUILDING SIZE: / () X d f. 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 />/BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />~~ OL), ()O <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />~Fraae _Steel Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? L <br />YES <br /> <br />NO <br /> <br />FINISHED FLOOR ELEVATIONS: F1' . <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />. " COMPANY ,<;'/lIlli gUILt EI/l:JJ5" 0w~~ <br />~~ ~ State Cert. or Regist. f <br />Signature c/ ~- ---~r~ City License Registration' <br /> <br /> <br />e~ ~ ' ~~~;eL~:~~eo~e:~:~~:~i:n # <br /> <br />** *************************************** <br /> <br />BUILDER <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration f <br />****************************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />