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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE MR. GORDON EASTMAN/ BARBARA EASTMAN lEWpioNE (519) 821-2522 <br />OWNER'S ADDRESS 17A-218 SILVER CREEK PKWY N. SUITE 309, GUELPH, ON. N1H8E8 <br /> <br />JOB ADDRESS 5512 17 TH ST. <br /> <br />ZEPHYRHlllS, FLA. <br /> <br />33541 <br /> <br />LEGAL DESCRIPTION: LQT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.,ll- 26 - 21-0010-14100 -0150 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration .xll.Repair _Install <br /> TREE DAMAGE <br /> _Sign _Move _Deaolish <br />PROPOSED USE: XXXsingle Faaily _M/F _, of Units _M/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: REPAIR TREE DAMAGED CARPORT <br /> <br />BUILDING SIZE: <br /> <br />20 <br /> <br />X11 <br /> <br />Square Feet. <br /> <br />8 ' <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 />_BUILDING <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 />_MECHANICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUKBING 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 />,.~ <br /> <br />Signature <br /> <br /> <br />BUILDER <br /> <br />Q>>WANYBETTER BUILT CONSTRUCTION INC. <br />State Cert. or Regist. ,RR005YYJl <br />City License Registration' 279 <br />*************************** <br /> <br />'~" ,ftI <br />\ <br /> <br />:F.T~.R=CTRI:::CIANe:, . COMPANY R I CHA RD C RANDAL L. ~.tIJ; c'T~r4-C c..~ .<./Tpt'~1( <br /> <br />/ /') State Cert. or Regist. , <br />e 'h~~ L~~.lCLf City License Registration t 0 7:2 <br />f - .*.*..............*****.*....************* - <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />***********~****************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />