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<br />'i. o? <br />3QrVJ. j-/tA-. <br />OWNER I S ADDRESS' t .;.-- 1/ v'- <br />6-Z6 <br /> <br />6 <br /> <br />.. <br /> <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS ~ <br /> <br /> <br /> <br />PHONE {PII .~ 9'b 3 .-11 L1 9> <br />2~//')1(1~>/~ /--=-~'; ~?J5'f1J <br />z f//;~ ~~ c..?Jt.5-' 0 <br />~ '~~SION kp~ I II <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S N <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:k:,New Construction _Addition ~teration _Repair ~lnsta1l <br /> <br /> _Sign _Move _Deaolish <br />PROPOSED USE: ~single F8IIily _M/F _' of Units _M/H <br /> _~ercial _Indust. _Swia. Pool t/o the r <br /> <br />Restaurant it Health Departaent Approval <br />/1._ . L 1/ {....-' It . // ~~. / <br />DESCRIPTION OF WORK:'/f"flCc.- (jCt.U\ / q/'cf '1;( ~Jt'n <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />-LBUlLDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Serv'ice <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHARI'CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />/ <br />IS PROJECT IN FLOOD ZONE AREA? t/~ <br />YES NO <br /> <br />****************************************.. <br /> <br />CONTRACTOR SECTION <br /> <br />RIITI.DRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />*.....****..........*....*..***..........* <br /> <br />R!.RCTRTCIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />*...****.*...**......**.*..**.*.....*..... <br /> <br />SiofUlture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />**.***.****........*..**.**..**........... <br /> <br />.. <br /> <br />HEGllARIGAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />*.*.***.****..*.....*...*****.****..**..*. <br /> <br />OTRF.R <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />***.*.***.***.***.***.**********.*....*.*. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />