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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME fA-/M~r 4;vI;~r~~ PHONE 7~2-f?t5/fi <br />OWNER'S ADDRESS Lf?i//6 q::e!-6Tr- :2~~/,,/rAj/~.4 &-?c..s--y.-o <br />C;;~/J/~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL LD.' /7' - ~ ~ f9- I -p tC' /P '-O,l9a> -l'k-~OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: v Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant <br />DESCRIPTION OF WORK: 6 lit/? <br /> <br />& Health Deparbaent Approval <br /> <br />/2)(/1' .1pd C4J?~P't-~~:J= 13j(8l. <br /> <br />BUILDING SIZE: X. Square Feet, Height <br /> <br />RESIDENTIAL: ATTA~LOT PLANS & (2) SETS 0; BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTA~ ;~TS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />3?3~~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'J'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGHAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />/1 <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ,;/.fl. /n ~L / <br />, State Cert. or Regist~ . ~.~. CI2r:23~ <br />.tJ -/11., ~/ City License Registration' 02/ / <br />*****'**** ******************************* <br /> <br />Signature <br /> <br />-L~ <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />SiRnature City License Registration t <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration , <br />***********~****************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />