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<br />. <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />G ~ ~~Cel'f~T0J dfie,J <br />! 'I~ s -s. 2....1 '!.>S! ~ V <br />~ 8 71 C 2:uG-/ Y t...J L f'-J <br /> <br />PHONE i 7 ez- / ?(/5 <br />p,(l.~~ CtT ( ']."3 S G 3. <br /> <br />OWNER'S NAKE <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) '"L- BLOCK SUBDIVISION OAf::.c.L<.Q €:s:r;(JrL~ <br />PARCEL I. D.' 02 - 7.-fo 2..-1- C\D I D- 00 3t.:)::) ~o (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New COnstruction _~tion -.-.A1teration _Repair _Install <br /> _Sign ~ove _Deaolish <br />PROPOSED USE: _Single FSIIily _KIF _' of Units _K/H <br /> _ec:-ercial _Indust. ~Wia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />.- <br />DESCRIPTION OF WORK: S<.v 1 ""'Vt-V\. ; vv ) Vt::;e:i u.J Sf ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />AUILDING <br /> <br />$ I I "?..-7'~ ---, <br />~ ~J L/ Valuation of Total Construction <br /> <br />~LECTRlCAL <br /> <br />AttP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KE~CAL <br />~UM.B~NG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrSlle _Steel <br /> <br />Other <br /> <br />FDUSBED FLOOR ELEVATIONS: <br /> <br />Fl' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RITII.DER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ?~'T{ 'D p~ \so <br />State Cert. or Regist.' c:. P c...o (~'" e b <br />Signature City License Registration f ~ (r 'L.. <br />~/. ****************************************** <br /> <br />R1_R~ill COMPANY ~ I e-o'f H>4 .v{ct t.J~ <br />:=:- -Z ~ State Cert. or Rogist.' ",,,-oo\,,,,-~'1 <br />. City License Registration' ~ 1--<:: I V z.. <br />~. * *************************************** <br /> <br />COMPANY B \'/0 p,oo{ ~ <br />State Cert. or Regist.' <: PC.O I ~lp.g ~ <br />City License Registration t ~ II?... <br />****************************************** <br /> <br /> <br />PLUHBER <br /> <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />***********~****************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />***********************************~****** <br />-~ -,..._....~'- . <br />APPLICA1l()N" APIR~I~~"'. ; <br />,~ ..;<" ,. " r ~','" , j <br />'" I '<;~.;L. -',~: .. ,,\ f <br /> <br />.,.., ..,.........,~.,...h'_,.....".-.-,..~-.....,~. .,'-~.. .' ..... ',',.._~ .~l <br />';. '~;~'+.';'-' '.. '.. '. <br />_ .';"~ ~~ .' 4;': ,"., <br /> <br />Signature <br /> <br />PIRIIlT OFFICER. <br /> <br />,...... .1 <br /> <br />:,;, \11 "'.. "!' 0I.',~' ' <br />~.,*,_ Oa._'.____,__-'...:.J~~.iA..j. , <br />