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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />fP''l,t t ~ ~;(l-:t;) -7~7 <br /> <br />OWNER'S NAIl1\ 'nCc::.rn~"-.) e 'b",~\'n '( n R l\teA PHONE-=:? 'is'3. I S~8 <br />OWNER'S ADDRESS QLL.c.'v\~ ~h.A~ <br />JOB ADDRESS "3 ] ?, ::, C2 C l~'::'-\- \'" \o...(V(U'( - z -I" l L s ~ 3 S ':::.41 <br />LEGAL DESCRIPTION: LOT(S) ~ 6 BLOCK SUBDIVISION W~'\:)~ e WOO 0 <br />PARCEL 1.0.' lb 'd~' d.-\ - b \~D --OOOOO-O&.BQ'OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :--l.,....dfew Construction --'ddi t ion ---..Alteration ---.Repair _Install <br /> _Sign .' -1Iove ~eIIOlish <br />PROPOSED USE: dingle Faaily -1I/F _, of Units _K/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: S 8" X 5t) t 26 tv ~ Square Feet t <br /> <br />---.Restaurant &: Health Departaent Approval <br /> <br />~~~ <br /> <br />o (" <br />o <br /> <br />Height <br /> <br />RESIDENTIAL: ATrACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATrACH (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 />G '-11 900 <br /> <br />J <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />200 <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />L--'W.R.E.C. <br /> <br />-KECIIAtilCAL <br /> <br />$~5()O <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block J.L'Fraae _Steel Other <br />FI.liISBED FLOOR ELEVAnORs:8~ Fr. IS PROJECI IN FLOOD ZORE AREA? ~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACIOR SECTION <br /> <br />BUILDER *~ COMPANY ~'--..o::n C^-N'- ~~~'-c-tL\J~ <br />. State Cert. o~Regist. , C Be. 03 St ~4- <br />Signature !l0~ ~- City License Registration' ~ '7'1 <br />*************************************** <br /> <br />ELECTRICIAR COMPANY '-rn Cv'\.-lL~ cJLe ~bu_~. <br />(i? ~~ State Cert. or Regist. , E~(',O'~44C\ <br />SianAture t..X..-~- -- -t...-~ City License Registration' 8ll ~ <br />***************************************** <br /> <br />PLUMBER COMPANY '<tla./\... '\..~) ~/U} ,,<JL....<) <br />~ iA I r State Cert. or Regist. , ~F-CX)&>(P~6 ~ <br />Signature ~~~~ City License Registration' 8e<.a <br />. ****************************************** <br /> <br />KEGHANIGAL COMPANY 8c~ \ru~ GA- ~ l A!~ <br />.!.- ---J () State Cert. or Regist. ,€:>A-(..:,- 043<=\4<6 <br />Signature ~~ City License Registration' ,~ <br />****************************************** <br /> <br />OTIIF.R <br />Signat~~ <br /> <br /> <br />COMPANY e <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />