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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />J7l? f- ~U; ,1-0 . <br />y-;;L t-~6 <br /> <br />OWNER'SNAHE~* ~ fY\~u dN~U PHONEfS"3.J.oo9 <br />I \ <br />OWIIER'S ADDRESS 3q 30"\ . ~ Clu-<;_~~v,((.1,,1I5 <br />JOB ADDRESS 31401 ~\r")-VI.^'J ~<f~~~ <br />Col <br /> <br />SUBDIVlSIONW ~{::)(5 Woo () <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: V;;ew Construction _Addition ---Alteration ~epair _Install <br /> <br />_Sign <br /> <br />--"-ove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />---ltl F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~estaurant Ii Health Depa12taent Approval <br /> <br />DESCRIPTION OF WORK: ~ <br /> <br />Q~ <br /> <br />BUILDING SIZE: ~~ xSCO,:l \Sl <br /> <br />Square Feet, ~~ Height <br /> <br />RESIDERTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDIHG <br /> <br />PERMITS REOUESTED <br /> <br />$ (oS, 0 0 t:) Valuation of Total Construction <br />/ <br />2-Dv AMP Service Florida Power Corp. ~.R.E.C. <br /> <br />$ ~ SOO Valuation of Mechanical Installation <br /> <br />_ELECTRICAL <br /> <br />----.KECIIAIIlCAL <br /> <br />~UKBING <br /> <br />GAS <br /> <br />ROOFING <br />~raae _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~lock <br />FINISHED FLOOR ELEVATIONS: t5 5: FT. <br /> <br />Other <br /> <br />YES <br /> <br />............. <br />NO <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUl1JlER ~ COKPANY~~ (},""~ <br />~ . State Cert. Regist.' e~c. .'b3:~\34 <br />Signatu ........... --- City License Registration . lJi-f <br />****************************************** <br /> <br />ELECTRICIAN COMPANY~ cM.~ U~ c \][.l-C.. <br />~ .~~ ('n.. State Cert. or Regist. . ~tt..- oo'3~"T~ <br />SignAture \~ ~ ~) City License Registration' c').. -, , <br />****************************************** <br /> <br />PLUMBER <br />Signature ~~ <br /> <br />COMPANY ~ CLI\J\A...~ ~ <br />U c; J State Cert. or Regist. . R F- 0 0 (.;.~ (, -S 3 <br />~\J~ ~ City License Registration t Be<.o <br />************ ***************************** <br /> <br />MECHANICAL (-------; COMPANY BO\.\v: S G-~ ~e. <br />. n "'"---- :t5l . State Cert. or Regist. t A.-B. 0 c;.. ~q <T ~ <br />Signature ~. Q~ C ~) City License Registration' 78> <br />****************************************** <br /> <br />!rIIIBR ~~ COKPANY~~ lliu,b~~ <br />. State Cert. r Regist. t e.~ - 0 O~ '<.A-Q, <br />Signature- (...-. City License Registration I 5~ <br />****************************************** <br /> <br />. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />