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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~F <br />(,0- ~ <br /> <br />OWNER'S - BrJ GjA JQ~ ~A'~ <br />OWNER'S ADDRESS /Cft,'5J ~,~ A ~~- <br />~,_ SJ.3b / <br />JOB ADDRESS ~ ~,:}t StHYJme<f:: JI)// 1Jt:/(/<- <br />LEGAL DESCRIPTION: LOT(S) 2 b BLOCK SUBDIVISION -$'"'1 '/VI /'vI P 12 H/ II <br />Nt.o <br />1:1- d.b-d / -' dJi; 0/00 -06000 ~ '(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />qCj t-?.iW) <br /> <br />PARCEL 1. D. f <br />WORK PROPOSED: X New Construction _Addition _Alteration <br /> <br />_Repair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: XSingle Faaily <br /> <br />____KIF _' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />, <br /> <br />DESCRIPTION OF WORK: ~/~L.e <br /> <br />FAmiLY' <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COKMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 56pOt:J <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />16- 0 AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECIIAlfICAL <br /> <br />$ ;2 7(J <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING GAS sAlAYJIr ROOFING <br />TYPE OF CONSTRUCTION: ,~Bloclt _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEC'I' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRAC'I'OR SECTION <br /> <br />cntPAIIY~ ~ ~ it- <br />State Ce . or Regist.' , cc.,c. ::i;;'c;go <br />City License Registration' /1 S' <br />****************************** <br /> <br />BUTT.DER <br /> <br />F.l.RCTRICIAR <br />SignAture .F-(Mf'Q <br /> <br />,.E -oM- <br />- <br /> <br />COMPANY _\-1- ..5 FLeCK / c:... <br />State Cert. or Regist.' CJ 5/:;-9 <br />City License Registration , s~~ <br />****************************************** <br /> <br />COMPANY ~WUA Ull C1j /l-~~ <br />,- --'] ./ It State Cert. or Regist. f /0 u-r <br />Signature ,,(J (/7 .../<--"'~ City License Registration f /?~ <br />*****~ ********************************** ' <br /> <br />MECHANICAL '~- COMPANY A.~c -Ii Ie- C6 IAlC-, <br />______/I d State Cert. or Regist. , CAc~ 3~'I-<!) <br />Signature '---.2'5t~ - City License Registration' c~3 <br />****************************************** <br /> <br />PLUHBER <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />