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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE /-II t IJ ( (!;/ /1/) IH! i:? Jfi' <br />OWNER'S ADDRESS ,13/-2. lA-HfKJb/.EZt. J) ~ <br /> <br />PHONE 1f)l--~2 5G <br /> <br />JOB ADDRESS <br /> <br />v~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />l(,tJ <br /> <br />BLOCK <br /> <br />SUBDIVISION bit fJ viLe-A (jF .41,~ 2- <br /> <br />PARCEL LD,' $5- ~- -21 ,- oos-I) -~rn,-/~CJ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />_Repair L-Install J <br />C~&J~r <br />/#110 <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_Swim, Pool LOther (Ptfrtc) <br />e~ct,i1JL <br /> <br />_eo..ercial <br /> <br />_Indust, <br /> <br />_Restaurant <br /> <br />Ii: Health Departaent Approval <br />~.f17#0 <br />./?n!J~ ,tjl/F~ /-AN'~rc=- SL/JB <br />~e- <br /> <br />U) Square Feet, e' Height <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: It) X <br /> <br />RESIDENTIAL: <br />COMKERCIAL <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~ . PERMITS REOUESTED <br />~O /'fC;? Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />W,R.E.C, <br /> <br />_KECllAllICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />At.vn,' <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOIIS: <br /> <br />FT, <br /> <br />IS PROJECT IN FLOOD ZONE AREA? .2S.... <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COKPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />************************************** <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, t <br />Signature City License Registration . <br />************~***************************** <br /> <br />OTRF.R COMPANY <br />State Cert, or Regist. # <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />