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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER I S NAME <br /> <br />\A.) , L. LA/L D <br /> <br />Hu 'T70 f\..J <br /> <br />PHONE <br /> <br />; -7B8- 2987 <br /> <br />OWNER I S ADDRESS <br /> <br />0208 <br /> <br />PE4 f2.. L- <br /> <br />.:S(. <br /> <br />z- H" c-- c s <br /> <br />H. <br /> <br />JOB ADDRESS <br /> <br />.5 A. IV\. E' <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL LD.' ;2 - d b ~;;l/ - ~ --- - 0 <br />WORK PROPOSED:_New Construction /Addition <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />_Alteration ~epair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: J Single Faaily <br /> <br />_KIF <br /> <br />_' of Units ____K/H <br /> <br />_<=<-ercial <br /> <br />____Indus t. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DBSCllIPTION OF 1/OJlK: C/&/C PO//...., ~~-\l1~ <br /> <br />BUILDING SIZE: 37 \ X / 2 I Square Feet, ~ Height <br /> <br />RESIDENTIAL : <br />COKKERCIAL <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 />PERKITS REOUESTED <br /> <br />---..-BUILDING <br /> <br />$ <br /> <br />1300. ~C9 <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'IUCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIECllAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDUSBED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.........................**.************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY CdeA7/r/~ &7e/Z/o/l-s Lr . <br />State Cert. or Regist.' C G.,c.. (:) "33'''0 Z <-t V <br />City License Registration' 2.79' <br />**********************.******************* <br /> <br />BIJTl.DRR <br /> <br />SianAture <br /> <br />COKPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />PLUKBER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />. <br /> <br />KECIIAlUCAL <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**.*************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />