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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1 . ~( :m:- <br />OWNER'SNAKE 1Z0N SlWtls.OW PHO~E 7B2-13r~ <br />OI/NER'S ADDRESS_i\ (), a ~)C t 7/'1 7.. /Z./J Lr a,)....., ((:> FL ?, 30-37 <br />o (/ ~ ~ <br />JOB ADDRESS ~c; 0 ::Lq () J L 5 D0 LJY<-L U&; ~ .. <br />7k ~'-t..-I/z DF.Jk l()oVL-+:L..-'-<Je.sT~ oFf-k.Fl..jOO#e-~€~Tkt- oFSI:(!f}.on.,/o 7CWl...sfu~ <br />LEGAL DES~PTIOH': Lg,T(S) BLOct_ SUBDIVISION <br />t<t+"V r E ;2, ~5 T <br />PARCEL I. D.' Goo 0 ~ C) 0 q /'7'n - ~o (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---..Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_eo..ercial <br /> <br />_KIF _. of Units _K/H <br />_Indust. _Swia. Pool ~Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: (1 fA ~ Jlt1 ~ <br /> <br />BUILDING SIZE, 60 X /::J.o, ~~ Square Feet, f.6 { Height <br />30 )<.. (J..O ~OD iE}tw To <br />RESIDENTIAL: ATTACH (2) PLOr'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 />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fRICAL <br /> <br />~ ~C;O AKP Service <br /> <br />V Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~.A. MECBAlUCAL $ Valuation of Mechanical Installation <br /> <br />~ ,A. . PLUMBING . GAS ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block Fraae ~Steel Other <br />(~~. \/ <br />FINISHED FLOOR ELEVATIONS:grzs: F':r.;,1f./ ) IS PROJECT IN FLOOD ZONE AREA? ,;:::..... <br />YES NO <br /> <br />****************************************** <br /> <br />BlITLDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 5"'v f'e/110/1 CtJAl/filTcrllf/t9 Or CMJ/l?/~fi-offfJJ4i1/f <br />~- ' --- L? /_~'/./ State Cert. or Regist. .cBc:.A 1-44;z..+ <br />/' . ..., ~ /'Z..tt'i ..f/ City License Registration . / ..5.....5 ~ <br />.. ********** ******************************* <br /> <br />Signature <br /> <br />::::~~ COMPANY Cci-ff- 'j.,,.ld.a,v' E /fl=<!--Cf <br />State Cert. or Regist. , <br />'"' II e . _City License Registration ,." I~ ~ 1(" - <br />*** * ************************************ <br /> <br />PLUMBER. COMPANY <br />State Cert. or Reg. t. . <br />Signature City License Re tration f <br />**************** ********** <br /> <br />;:j:/V'<!- <br />/5>(J <br />I <br /> <br />Signature <br /> <br /> <br />MECHANICAL <br /> <br />OTHRR <br /> <br />Signature " <br />", ,~:~. <br /> <br />COMPANY <br />State Cert. <br />City License istration t <br />****************************************** <br /> <br />:". <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />