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<br />.... <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />get)P6E in IK.ULCi/C <br /> <br />i.!J-- <br />L..{) tJi::? <br /> <br />r~ZI- 75"11 )( 105/7 <br />PHONE ' 7 25 g t!/ {;, 5' :;; <br /> <br />OWNER'S ADDRESS 3~' b & Q F-1'/' EAJ-J[) a}C)t'Jo <br />3f & &'1::) /~o/ c:7:'fJiJtJ {..{./ (J C) D <br /> <br />ZH rt:: _~.3 S-t..{v <br /> <br />JOB ADDRESS <br /> <br />{ C) () /:) <br /> <br />w, rE:"" b~ I ;;b~ I ~ I ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~1 <br /> <br />BLOCK IS SUBDIVISION ft1E.lrboll!#C>d? 1> EST'" Tc-...s <br /> <br />PARCEL I.D.' 1:3- .:L(g-c:2I-IJJJ./o -O/Jooo-/J.:l7D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction )< Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: .1.single Faaily <br /> <br />_KIF <br /> <br />_, of Units _M/H <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: UMt/J(;( t-'JNV}tL(.' n2t'llJ ,pEtJ;.!tJr.'Y'Y/ , HDJ> 12.02 ,"'(..Ml i C Jlf7 H€/J.,'4i-- LE/I..II.,'(;'- <br />. ,}A,' DA l> j) ]>c.,(;.,,2 'tC.~1 P~/~~ <';-{ <br /> <br />/2 X )2/ . <br /> <br />/ /..j I.{ <br /> <br />Square Feet. <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br />-lL'~C'flUCAL <br /> <br />~MECllAlUGAI. <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-- PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />" <br /> <br />BUTI.DER <br /> <br /> <br />CONTRACTOR SECTION , <br /> <br />COMPANY C5)( tn?1-e ~ P/~) <br />State Cert. or Regist. , <br />City License Registration , <br />.....******.******..*~~..*..**.****** <br /> <br />COMP <:-Y ~ ~...;ry1JLA) <br />~ State Cert. or Regist. t <br />City License Registration , <br />***.*******...**************************** <br /> <br />Signature <br /> <br />,JO <br /> <br />____ PLUMBER <br />20 <br /> <br />Signature <br /> <br />;V/t <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />*****.***.********.***.**..*.************* <br /> <br />COMPANY ~~P ~L.l].~) <br />State Cert. or Regist. t <br />City License Registration , <br />***********~****************************** <br /> <br />Signature <br /> <br /> <br />MECHANICAL <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY~~~ <br /> <br />PERKIT OFFI <br />