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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />WI II, ..,.,q ,11/ (j- y ~(#4 Y. I?oJk. <br /> <br />PHONE <br /> <br />;?8'z-6'FU'6 <br /> <br />OWNER'S ADDRESS <br /> <br />J.f'-I:? .3 <br /> <br />iT4 <br /> <br />/(v~ <br /> <br />JOB ADDRESS <br /> <br />5',,/{~ <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) IE 1< 1/, I.). -/ ~ BLOCK 71 SUBDIVISION <br />PARCEL LD.' 1/ -.;t-,)[. t:>iJJD - t) '17110 - b ;/0 (OBTAIN FROK PROPERTY TAX NOTICE) <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 />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br />_ /<::pX'- <br />.J:::::.Other CA'~ <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: ;1 G 0 H I ~".f1 {> '" IC. ~o IZ 7 - r,.( ~ t ST;f "" I? / P ~ <br /> <br />BUILDING SIZE: <br /> <br />/~ X .:10 . <br /> <br />~ <br /> <br />Square Feet. l' <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 />~UlLDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fECHARlCAL <br /> <br />$ <br /> <br />Valuation of Kecbanica1 Installation <br /> <br />_PLUKBING GAS ROOFING <br />TYPE OF CONSTRUClION: _Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />Y1' . <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACl'OR SECTION <br /> <br />BmI.DER Q)fIpANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />RI.RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SionAture City License Registration . <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*****************************************. <br /> <br />tlECHANIGAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*..*******************.**.***********.**.. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************.****..****.*.***.......*. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />