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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />--7r;. . <br />1- d- g- <br /> <br />OWNER'S wAKLJQ.Jj /aY'r) ~bsf-e V' <br />lR /5 ~ <br />Qq\L. j'o\ <br /> <br />PHONE i 13) - :51;)? <br /> <br />JOB ADDRESS <br /> <br />c_~ mea 5+- <br />PC;yl <br /> <br />Mlt <br /> <br />OWRER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.' t/ -df.,- ~I- 00;10 -C0300 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:_New Construction <br /> <br /> <br />_Alteration ~epair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br /> <br />~ngle Fully <br /> <br />----"ove <br /> <br />____DeIIOlish <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />____Indust. <br /> <br />____Swia. Pool ___Other <br /> <br />~estaurant & Health Departaent Approval <br /> <br />DBSCRIPnOll OF llORI:: Ca.\' ~<oy-+ - (14:5""\1"'5 CD"CV~) <br />BUILDING SIZE: ~ . ~f)..o Square Feet, X ' Height <br /> <br />RESlDERTIAL: <br />COMKERClAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) 'SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />$ <br /> <br />I ;)3;}.~ <br /> <br />PERMITS REOUESTED <br /> <br />v{'UILDING <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />. ;4 <br /> <br />-'lEaIAlIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnON: _Block ____Fralle _Steel <br /> <br />Other <br /> <br />PI1II.SBED FLOOR ELEVAUORS: <br /> <br />FT. <br /> <br />IS PROJEGT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />1t <br /> <br />CORnA=~~ ~ ..... <br /> <br />State Cert or Regist. . '*1;1<; <br />City License Registration' ....17 I <br />.......................................... <br /> <br />.. <br /> <br />BMl.DER <br /> <br /> <br /> <br />..:. <br />"1 <br />tt, <br /> <br />'Rl.RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiDnAture City License Registration' <br />........................**................ <br /> <br />PLUIIBER COHPA!-l <br />State t ,-to or Regist. . <br />Signature City Lh~'"1se Registration' <br />.........................~"............... <br /> <br />MECHANICAL COMPANY_. _ <br />State C, t. or Regist. , <br />Sigoature City Li.c'nse Registration' <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />