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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME G ~ e A L.. t\ \iLl. G L(t S <br />OWNER' S ADDRESS 5 7 3 b I J- +4. .! r <br />JOB ADDRESS 5" 7 3 G:. 1.;2. t /l S-r: <br /> <br />PHONE ~/3-?8~,,9 7a <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />11- ,;1.,,- ;2./- 0010- 0710D -0170 <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---.A1teration _Repair -A-Install <br /> _Sign -'love _Deaolish <br />PROPOSED USE: ~single Faaily _KIF _' of Units _K/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />INSft4-Ll <br /> <br />Ne..r....> <br /> <br />Ale L /+~T.#~ <br />. -.J <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECIIAIIlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block. _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />**************************************** <br />7 <br />I <br /> <br />Signature <br /> <br /> <br />COMPANY. ~ <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br /> <br /> <br />Signature <br /> <br />~~~e~~.'~~A <br /> <br />City License Registration t <br />****************************************** <br /> <br />.> <br /> <br />PLUMBER <br /> <br /> <br />COMPANY Ie.$- <br />State Cert. or Reg st. t <br />City License Registration <br />************************************* <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />