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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S N~~E' If l, + J urtd-h A, t:?~ 'f-OO-! d S PHONE t;< ( 3 - 7~ a - 2 37 ~ <br /> <br />OWNER'S ADDRESS 5~o~ c9D+lt ~+ree 1- <br /> <br />JOB ADDRESS <br /> <br />5 f\ r>1 e... <br /> <br />LEGAL DESCRIPTION: LOT(S) L BLOCK I SUBDIVISION7inert-e~t- <br />PARCEL I.D.'I;{- 2~-~/ - Obit> - DO 100 - 0002.0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New COnstruction ____Addition ____Alteration ____Repair ____Install <br /> <br />Si . <br />---- go <br /> <br />--..Jtove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Fu.ily <br /> <br />____"'F <br /> <br />____, of Units ____M/H <br /> <br />____eo..ercial <br /> <br />____Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br />DESCRIPnDN OF IiORK: I~ )'.:17 (?~-C-"Y-I;l )l. 3/,) ~1h/l.- <br /> <br />BUILDING SIZE: .1:2 ~, Square Feet. 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 />~BUILDING <br />____ELECTRICAL <br />____MECHANIcAL <br /> <br />PERMITS REOUESTED <br />I) ,.7 <br />4. - .- <br />$ 6/ I !j. ()O Valuation of Total Construction <br /> <br />AHP Service <br /> <br />F lorhla Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUKBING <br /> <br />GAS <br /> <br />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 />******.*.......................*.......... <br /> <br />YES NO <br /> <br />BUILDER <br />Signature'~~ <br /> <br /> <br />ELECTRICIAN <br /> <br />CONTRACTOR :;E4 ) <br /> <br />COMPANY "GJ-7~..vl <br />tJ ~.J State Gert. or EeEist. . <br />. ~ City License Registration . <br />..** *...***.............*...........*.... <br /> <br />Sianature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />......................................*... <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.................*..*.**.*...*..........*. <br /> <br />Signature <br /> <br />KECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />.....*......*......*........*.......****** <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration I <br />..*.........*....*..............*.*.*..... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />