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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />C0 <br /> <br />OWNER'S NAKE <br /> <br />G /Z-A-N' cI II~ ~I ~ /lJ-5 PHONE 3 S- 2.- ~-2. 'J ..17 It <br />OWNER'S ADDRESS O. C).~ D)<.. ;)... ~'f ~- eAJ.€ Gf?y 3 5S'"2. 6 <br />76 'IS- G,<.etZAJ.f~pti /J,<. 'Z..-I-/,//..f <br />LEGAL DESCRIPTION: LOT(S) S9 BLOCK SUBDIVISION 6f'LA'W cL {{,/L( 'l.d~$ <br />. . ~9 <br />PARCEL I. D.' 3 LJ..- 2 ,S;- - 2/ - L! 0/0 - (i I 3 0 0 - (O~TAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED: _New Construction _Addition ---Alteration _Repair _Install <br /> _Sign --"-ove _Deaolish <br />PROPOSED USE: _Single Family _H/F -' of Units 4M/H <br /> _C~ercial _Indust. _Swim. Pool _Other <br /> <br />___..taurant & Health D.par_nt Approval {.$> _ ~ <br /> <br />DESCRIPTID11 OF WORK. _:;-~ r Vf r>1/I{. ~"O i <br /> <br />BUILDING SIZE: ~ 7 x::ib I :):"11:::square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />~~RlGAL <br /> <br />~CHAIO.GAL <br />vPi:UHB~NG . <br /> <br />$ <br /> <br />Valuation of Total Construction <br />I :;-0 AMP Service ~da Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />,,-; .If cJo <br /> <br />"- <br />Valuation of Mechanical Installation H( tt." . <br /> <br />ROOFING <br /> <br />--~ <br /> <br />IIfiiiII <br /> <br />GAS <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? -X <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY tJ~ /n /t: S <br />~ Stat. Cert. or R - ist. . <br />{..J 0 City License Registration' ~y <br />~ *** ************************************** <br /> <br />COMPANY IJ-c.e. 11 e -P f-; q eJ-;4- 1- ,; t1.J ;;:4/ r.. <br />State Cert.. or Regist. , ./ J::s oOC> 00 () I <br />City License Registration' J R' 7 <br />****************************************** <br /> <br />vi Signature <br /> <br />ELECTRICIAN <br />Sianature ck~ 13.d!Y dl()1- <br /> <br />PLUMBER <br />/Signature <br /> <br />COKPANY p~ hH.5 <br />CJ ~ State GerL or gist.' <br />~ City License Registration' '7' t <br />* *************************************** " <br /> <br />Signature <br /> <br />COMPANY C e... ( Jl <br />. I A 1.1 /J/J State Cert. or Regist. f <br />(~ jI.J.LfJ(d/A)"-" City License Registration' <br />****************************************** <br /> <br /> <br />MECHANICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />