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<br />OWNER'S NAME Ed LV,- y\ ,5 1'\1 d .f!-J- <br />OWNER'S ADDRESS ,. J I L./ f5 1'0 ad IYl ~ re- <br />. <br /> <br />JOB ADDRESS S Q /7? e <br /> <br />PHONE <br /> <br />6?~~ <br /> <br />19...?~%s 0 / <br />PL- '::? :3, '). Y'O <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />2 yo/..yr A ,. J (.5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' 10 -:;tt, - .:2/-/- /1Y/1- <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant Ii: Health Department Approval <br />DESCRIPTION OF WORK: Sc I P e.t"'l r< 00 /Y\. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERCIAL <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~ING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />97:r'.~ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAllICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUMBUm <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <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'l <br /> <br />YES NO <br />****************************************** <br />. -9yG <br />CONTRA~ECTI06 '1~ <br />B1l1LPER & ~ ro_ /1./ {) U Cl j, f y 17 fa,.. ; Jr '-< /VI <br />'- State Cert.' or Regist. /, IfX t),~C}CJPS . <br />Signatur --- City License Registration , <br />****************************************** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration , <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />************~***************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />