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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />IJI< <br /> <br />'lJ'J.-tJ8hY <br />7t~?- 6 s...?o <br /> <br />OWNER'S NAME <br /> <br />()A' <",/':4 ~,-P7l"'~ <br /> <br />Q?~S M// L/.-e/~... <br />'7# <br />..5"# '" e <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />. <br />/ <br /> <br />z-~/~ <br /> <br />// <br /> <br />JOB ADDRESS <br /> <br />3 ?? ;lpo <br /> <br />.z~.;(YA'" ""//",, ~?- <br />I , , <br /> <br />BLOCK /63 SUBDIVISION C/ ry <br /> <br />~ r ..2>.-::'~~" / /h <br /> <br />LEGAL DESCRIPTION: LOT(S) J., ~ ) -; 3 <br />, <br /> <br />PARCEL L D,' //-,:26"'"z;' p t:>/ t:J - / 6 ..3' Pit:> - P t:? / C1 (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration hepair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: 1~ingle F_ily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust, <br /> <br />_Swim, Pool _Other <br /> <br />_Restaurant Ii: Health Department Approval <br />I /tIa:;yT} <br />DESCRIPTION OF WORK: ke.a/;;e e. ~/If/;;~"",,/y~ 4 ~t::U- ~AI ~r'/!A!. &O;Jff ,Rt"u-)J/'-'" -,J- ;tJ~b?",J <br />, 13'?~ '<;'VIN' ' / <br />':3:2 g jJ"-,,,,? <br />BUILDING SIZE: X , I; '1 :20 Square Fee t,...<' ..57~YHe ight <br /> <br />RESIDEIITIAL : <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 />I~UILDING <br />LELECTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />oP <br />II J> OF) - Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp, <br /> <br />W,R.E.C, <br /> <br />~CllAllICAL <br />V PLUMBING <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block Br_e _Steel <br /> <br />Other <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />FIlJISHED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ ~ QlIIPABY C)~ <br />-,.. State Cert. or Regist. , <br />. City License Registration . <br />***** * ********************************** <br /> <br />Signature <br /> <br />~ COllPABY (((GiRM t/w#de/L <br />, <br />. . . "~I State Cert. or Regist. * <br />e ~ cCu~.a4 City License Registration' <br />I ****************************************** <br /> <br />'7~ <br /> <br />Signature <br /> <br />~ QlIIPABY I2J9V' ('"..,,...,z <br />State Cert, or Regist, , <br />. ~ City License Registration t <br />****************************************** <br /> <br />PLUMBER <br /> <br />k.3. <br /> <br />/ <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />************~***************************** <br /> <br />OTRRR COMPANY <br />State Cert, or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />