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<br />OWNER'S NAKE <br /> <br />rh ;,L.I ?~.3 <br />-:PI( F '1S-' JV <br />8---30-7-6 <br />FeLJ~ ArhR/J~~ff ~nL/j PHON.(S13} ~ t./C/t-?:ig; <br />.:dLJI). CkeAelV;4-rt'R PL. <br />7r;tO~;P .'..1/ tt.6 rL. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS J t, / b <br />JOB ADDRESS B-:'d-i -.2/- <br /> <br />~u.L~ ~&...-/ <br />/ <br />77 /J18 cRlu4Lt <br /> <br />"'22 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPrION: LOT(S) <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-LNew Construction _Addition -----Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: .L-Single Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESGRIPrION OF WORK: r:~,JS"'Tl2M.r7 /J8.AJ /.:)().JG0(A-5 <br />~o' -~. /c Id' <br />BUILDING SIZE: :J X;)'::>. /,:) 71 Square Feet. T Height <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 />~BUILDING <br />.L..ELECl1UCAL <br />..lC-MECllAlfiCAL <br />X.PL~ING <br /> <br />$ ~ 07 ) <br /> <br />Valuation of Total Construction <br /> <br />.".. . <br />()D AMP Service Florida Power Corp. <br />?? '=. .'"" CJa <br />~ -:> -' (..-J' Valuation of Hechanica1 Installation <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDIT5HED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />.......................................**. <br /> <br />,. <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />....*.*.*...****.**.*..***.*..*..**..*...* <br /> <br />Signature <br /> <br />Rl.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*...*****.*...**.*..***.*..*...***.*.**.*. <br /> <br />SiimAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.*...................*..............**.*.. <br /> <br />Signature <br /> <br />.. <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.............*..............*..*.........* <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />..............*............*.*............ <br /> <br />Signi.tture <br /> <br />APPLICATIOR APPROVED BY <br /> <br />PERKIT OFFICER. <br />