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<br />. ' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />\J- <br />~yt.~#-U' 4ro <br />~ 11~ ,o,-;A- <br /> <br />OWNER'S NAME <br /> <br />t=~A "" cp/4tK- CJ..L.uv1 c. ,P, 4, <br /> <br />PHONE 813-780-8440 <br /> <br />OWNER'S ADDRESS 38109 Medical Square, Zephyrhills, Florida 33540 <br /> <br />JOB ADDRESS Same <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />(See attached Exhibit "A" (Legal Description)) <br />BLOCK SUBDIVISION <br /> <br />PARCEL I.D.' Same <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition V'A'lteration _Repair _Install <br /> _Sign ~ove _Deaolish <br />PROPOSED USE: _Single F8IIily _H/F _, of Units _H/H <br /> _C~ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: .I:.tv {Z!7e./~ <br /> <br />D t= ,c, c.er <br /> <br />B (../ t <- f) ou...r () r is)'1 s riP 6- 5/~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />, 5.800 <br /> <br />Square Feet, 16' -0" Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />/' BUILDING <br /> <br />$ 17 0, 5 00 . 00 <br /> <br />Valuation of Total Construction <br /> <br />,./ ELECTRICAL <br />/' MECHANICAL <br />L-PLUHBING <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />35,000.00 Valuation of Hechanical Installation <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 />IT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? X <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />HINSON BUILDING CORPORATION <br />BUILDER COMPANY H/J c::::- <br />r~ ~____ ~ State Cert. or Regist. , C (i.CAP 44Sd S / <br />Signature ;/~/~~ City License Registration' /q:l(j' V <br />****************************************** <br />SHEPPARD ELECTRIC COMPANY <br />COMPANY SJftS-PP~ GLt::~c... ~~ <br />State Cert. or Regist. , '=1< ODO~15 _' <br />City License Registration # Jlo_~ I~ <br />***************************** <br />JOE CARLTON PLUMBING <br />COMPANY :rv €: t..J7;'^.J f~ 1.1(,; e- <br />State Cert. or Regist. , 6 <br />City License Registration ~ ~ <br />**************************** <br /> <br />PLUHBER <br /> <br /> <br />BRITTON AIR, INC. <br />lII.ICIIAlIlGAL #" ~ COIlPAHY f3tr. rrT "'/v HI >e. ~ C- <br />c. !~', . State Cert. or Regist. , CJUe'tfJ4/076 <br />Signaturerl<' ~ /! ~"" '/ City License Registration * t'.1'"zS-- CERr,/ <br />************. ***************************** ~ <br />RODAN FIRE PROTECTION$prJI/ kl.,Y$ C . <br />OTRF.R '~~ COIlP~.NY &'1>'f'"AJ ~~ ,q~ -- .. _-- " <br />State Cert. or Regist. # CO :.2 OODO 17 ~ <br />Signature ~~ ~ City License Registration # RJ7_~ ~ <br />~,.. ** ~**.**.**.............................. <br /> <br />APPLICATION.APPROVED BY <br /> <br />~';+"., <br /> <br />PERMIT OFFICER. <br />