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f') {\.W ~ APPLICATION FOR PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ;zw r; 5k....p..,{' .~_~_~ C(.L ~ 2:}: ~~/:L ~y ~ .f)c~+~,Jl/-E:5 ~ t "<, -f?e I' ?cSlcc Y OWNER'S NAKE l4e- ('\01 ~ w~~ 'btx~V'- OWNER'S ADDRESS r 0 "Ro)r.. 4-.:4D .2....p~k;(/,. JOB ADDRESS LEGAL DESCRIPTION: LOT(S) Tr&.~+" 'A" BLOCK, ,SqJlDIVISION 'S; \~ Co..tC..5 ~ I A If -r-r. " PARCEL loD.' 0 ~ -.:J-{~ ... 'J. 'l - 0 I ~ - e>c!)c)Clel - T~d- A (OBTAIN FROM PROPERTY TAX NOTICE) PHONE )-1. WORK PROPOSED:~New Gonstructi~ _Addition _Alteration _Repair _Install _Sign _Move _peaolish PROPOSED USE: -':&"'Single Faaily _KIF _, of Units _M/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant Ii Health Department Approval DESCRIPTION OF WORK: lJ4'''''' 1-\(1 ~ BUILDING SIZE: fo t" X 3 4 . ..);L,~ 2..- Square Feet. ' 'f Height RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED /' BUILDING $ ell ~.O-I1) 0 , Valuation of Total Construction ~ELEGTRICAL AMP Service Florida Power Corp. W.R.E.C. /' MEGHAIIlCAL $ ~~, Valuation of Mechanical Installation V PLUMBING' GAS ROOFING TYPE OF CONSTRUCTION: v' Block _Fraae _Steel SPECIALTY Other FINISHED FLOOR ELEVAITONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? YES NO .......................................... PLUMBER CONTRACTOR SECTION COMPANY (!; ro..~R- ~~ ~5 State Cert. or Regist. t Cli-Co OS-5'~ City License Registration t J~'T'-C~ ........u..............ilf~Kn:V ',t f 6~rt. /~~7Y COMPANY L _' , I> ~ State Cert. or Regist. #...-r 0001 City License Registration ,~ .......................................... r~ . ,c-vG veJ-;., ~O ~ .2J.1 c:J("KCh- - BIJTI.DKR Signature COMPANY ."'Y7 ~ State Cert. or Regist. , z:J~ City License Registration # ..... ............................******** MECHANICAL Q COMPANY ,{O~.s" 1';1''''''-~~'\-I'',^-~ .,..--.,L,"::'-\} State Cert. or Regist.' " ~ ~3 ~ Signature ~\ City License Registration' /IIJ/~ *..*.........**..***.***.....*.....****.** Signature V"" V" OTRF.R COMPANY State Cert. or Regist. , City License Registration I .*.........*.....*..................**.*** Signature APPLICAnON APPIlOVEJl BY ~I/l (1/11.R1 '-/lIP .~ PERMIT OFFICER.