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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE J-JA(i t2/0 <br />OWNER' S ADDRESS~ (!). <br />JOB ADDRESS J ~3 r- <br /> <br />~t?d.Q!, PHONE <br />go y 6:;' ( 2- 2sph t< /.,1 Is: <br />J~T""Zl./l. J ~ <br /> <br />~(3'~6o~> <br />J::"L "3 ~,~4- 0 <br /> <br />LEGAL DESCRIPTION: LOT(S)---1 r~ I ~, BLOCK SUBOI ' <br />PARCEL I.D.' LI-').6- 1- ~ (,) -0 ...::. <br /> <br /> <br />./ \ .---'/ <br />WORK PROPOSED:~New Construction _Addition"------kli'eration _Repair _Install <br /> <br /> _Sign _Move _Deaolish /' <br />PROPOSED USE: ~ingle Faaily _M/F _, of Units hlH <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: +;1/~i~1 JA-rhOv r1-F' ~t.>61 Ie <br /> <br />~...- ~ <br /> <br />BUILDING SIZE: :2. 8- x Y ~. I:) 4 11 Square Feet. I <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT 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 />~ILDING <br /> <br />$ <br /> <br />;g,ooo <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_MECHANICAl. <br /> <br />:;:L 0 0 AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />J ~OO <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />/YJ1H <br />. <br /> <br />Other <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />BUlT.D1!R Q <br />Signature C21,A j <br /> <br />CONTRACTOR SECTION <br /> <br />W t COItPAlIY Sf} A/r'Z \ ~ ~ 1../0 0:>' fA)~ <br /> <br />'. 0 0 .,',,, State Cert. or Regist. t 1"')y-4I}' <br />CV---t-il.\ t~City License Registration f ~-? /_ <br />****************************************** <br /> <br />tv t.. <br /> <br />=~~ <br /> <br />COHPAlIY {)r?&4;" ("V"" (/.. tJ~ <br />State Cert. or Regist. () C)~~~:/- 14 <br />City License Registration . ~ <br />****************************************** <br /> <br />PLUMBER 8' COMPANY :;;u v te I S r< 1...Lr~ U " IIV r "I..v c... <br />State Cert. or Regist.' c'"? "" ~t <br />Si......ture W f;;JJJ01/V! City Liceose Registration' -0'/ 7 <br />****************************************** <br /> <br />MECHANICAL <br />Signature /n~ -f~ <br /> <br />COMPANY 0 IN <br />State Cert. or Regist. f <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 PERKIT OFFICER. <br />