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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />',I ... <br /> <br />6~,o,..N d Ho ~I ~d" ".}..-> <br />9..<S)...~~ ~-;)..'fS- ~A~~ Ct1:, <br /> <br />, <br /> <br />76'15 G'~"~st..ofiJtE .B1f <br /> <br />. <br /> <br />LEGAL DESCRIFl'IOR: LOT(S) c: ~ BLOCIL--SUBDIVISION G""l'r1Vel ,*te.(~J <br />PARCEL I. D.' "3 'I' - *J-'::'-...r,J.{ -00 t iJ -<:> I '3 0- C,) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S NAME <br /> <br />PHONE 3S'""2 - .::>-,,"3 -/ 7"/ <br />"33S-2..' <br /> <br />OWNER'S ADDRESS <br /> <br />J01l ADDRESS <br /> <br />WORK PROPOSED:__ew Construction ---..Addition ---..Alteration _Repair -)t-Install <br /> _Sign -.JIove _Deaolish <br />PROPOSED USE: _Single Feaily ---Jt/F _' of Units XM/H <br /> _ec-ercial _Indust. _Swill. Pool _Other <br /> <br />----Restaurant " Health Depar-..t App~l <br /> <br />DESCRIPTION OF won: S- rz. (VI) rn / II ~ 5(; 0) <br />...--- F- , <br />BUILDING SIZE: ::).. 7 x'l:" / ;LIS- Square Feet, Height <br /> <br />RESIDENnAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />...::6:-BLECTRICAL <br />~CllANlCAL <br />-+PLUKBIIIG <br /> <br />$ Valuation of Total Construction <br />/ 5D AIIP Service ~FIorida Power Corp. W .R. E. C. <br />$ 1:3 0 () Valuation of lIechanical InstallationA-IIC.-' <br />/ <br />GAS ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />YES <br /> <br />* <br /> <br />PlNISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA.., <br /> <br />......................................*... <br /> <br />CONTRACTOR SECTION <br /> <br />RUTT.DER COIIPANY ~.7.1. ~ $, //.J <br />~.-/ A /1 State cer~ist.' . <br />VSignature CJc:?- - /J...:z r-.&/ City License Registration , .i!./ 'Jf <br />... .......*....*................*........ ' <br /> <br />RT.RCTRICIAII . COMPANY IJ-c e... r I ~ .e,.. ,,'-,/ co~.;:J:.dI C. <br />, / f).0< /J/J State Cert. or Regist. ES OGOOO I <br />Sianature C~ VU J2Q ~ City License Registration' I K7 <br />....................................**.... <br /> <br />~LlDlBER <br /> <br />Signature <br /> <br />COIIPAIIY ~..b' ~.r/ S <br />/' 1 ~ State Cert. or sist.' <br />c.A-/'~ -LL City License Registration t l....1 ~ <br />. ... ........**...**...*..*.*.*...........* / <br /> <br />COMPANY /lee- flQ-f1i",'q ~r 19-7 /0 ~ ~c(j c., <br />C. f .4 LJ AI! State Cert. or Regist/' ell Co 3~~.. <br />_11A.M: VV.Q,t)' ~ City License Registration' _ <br />........................*................. <br /> <br />IlECHANlCAL <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Resist. . <br />City License Registration t <br />...............*.*................*..*.... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />