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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME !t/t dl PJ?7 <br />OWNER'S ADDRESS ~cJS- <br /> <br />6?~.:Ss ;Ji , <br />~hJmbd~tL <br />.9~ <br /> <br />~d <br /> <br />PHONE 8/.3 18f?- tp,:J 3'7 <br />7e,P), y.t1,jj: (j~ R <br /> <br />.JOB ADDRESS <br /> <br />I,EGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I,D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install <br /> <br />_Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single F~ily <br /> <br />____M/F <br /> <br />____' of Units _11./8 <br /> <br />____C~ercial <br /> <br />_Indus t , <br /> <br />____Swim, Pool ~Other <br /> <br />S'7()M9~ she/' <br />I (J~ It;? <br />SmlCA?G 5'ha/ ~U P7 jJo/tud~ .t:=/~ <br /> <br />7 Height <br /> <br />____Restaurant & Health Department Approval <br /> <br />UESCRIPTION OF <br /> <br />WORK: f)tUIn <br />J~ X J h , <br />r , <br /> <br />JI))( /10 <br /> <br />BHlLJHNG SIZE: <br /> <br />Square Feet, <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />ATTA~I (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />rBUlLDING <br /> <br />~ <br />$ /7f)t!J. 6b <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_EI,EL'TRIGAL <br /> <br />Al1.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECRANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PUIHDING GAS ROOF ING <br />TYPE OF CONSTRUL'TION: ____Block -x'Fra.e ~Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />mLIumR. <br /> <br />COl1.PANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />Signature <br /> <br />ELEL'TRlClAN <br /> <br />COMPANY <br />State Cert. or Regist, f <br />City License Registration f <br />.*.**......*.........*....*..*.......*...* <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration' <br />.......................................... <br />T <br /> <br />Signature <br /> <br />tlEGHANICAL <br /> <br />COl1.PANY <br />State Cert. or Regist. f <br />City License Registration # <br />...*...............*........~.....!1..,.. <br />llt?i!I "5 51JEZT-S <br />COl1.PANY h1 tv &-.R _ E.: I./-X <br />State Cert.or Regis't. f <br />City License Registration I <br />.......................................... <br /> <br />Signature <br /> <br />t?j..1O ~ ~ PtJWta! .~ <br />IIUh/1I rG <br /> <br />!IDlER <br /> <br />Signature <br /> <br />APPI.ICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />