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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />O~. <br />. \t7 <br />~~ 3 (\~.H <br />( ~ \' ftl(fY <br />PHONE 7ro B- ? S-(, J <br />Z~4i1j.1J.s / 4~<k J 75)'/ <br /> <br />OWNER'S NAME_C /'ivJ., {+J ('W~, b-iWf-e--fJ-- <br />OWNER'S ADDRESS s'1lJ /~ /h~c-yt p~ <br />JOB ADDRESS 0~-'70...J2,,~ 5~~ <br />LEGAL DESCRIPTION: LOT(S) ) ~ if) I.' BLOCK) I /.e? SUBDIVISION 2-#1'6 C" <br />PARCEL LD.,-LJ- Z-~ - 21 -00'0 -Uc:,Ou- oJ:.!#) (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PRoPOSED:4ew Construction _Addition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />----"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: XSingle Faaily <br /> <br />_KIF _, of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIO" OF WORK: S,~I"" Pp-.;1 JZu.;~ <br /> <br />BUILDING SIZE: ~x ~~ . ji>1v Square Feet, tg I fJi-k <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UlLDING <br />X ELEC'flUCAL <br /> <br />bCHAlfiCAL <br /> <br />XPLUMB~NG . <br /> <br />$ 5 1/~OD-- <br />} ')"0 <br /> <br />Valuation of Total Construction <br />AMP Service ~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />J..,o ~ D ..-- <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'fION: XBlock _Fr_e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />,mma ~ <br />Signature <br />/ <br /> <br /> <br />F.T.RC'flUCIAN COMPANY p~~ rU~l.. I <br />;.:: ~ U4 ~ --<.:: State Cert. or Regist. t BlZo."2-1'~ I hI!!!!!. oo/S?>!.. <br />ur . :A--- ~ City License Registration f 2-'1 J <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ -?~/^ I 21_ COIlPAIfY .......} pl- ' <br />-- l LlY:>'t-L~~Stat-;'cert. or Regist. t e... 0 <br />_ '~1License Registration t <br />,. ****************************************** <br /> <br /> <br />o <br /> <br />Signature -"'J <br /> <br />MECHANICAL <br />Signature X <br /> <br />~ J COHPAIfY ",.., '> t2J.~-f <br />State Cert. or Regist. , <br />49 ' City License Registration' <br />, . *~*** **************************** <br /> <br /> <br />lKJi)bJ <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />