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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />t-\ If R ~~f,,,-kd lQ <br />OWRER'S ADDRESS ,--3.5c)~ .:) HeLl,! ,-sq u) <br />JOB ADDRESS J-D+ ..::tt<S {o '~-K ;da {2 (LeUI' "t:51/Jd. <br />""T / <br />LEGAL DESCRIPTION: LOT(S) tPCl5:& BLOCK.ooilt\1SUBDIVISION ZJ3/6 <br /> <br />OWNER'S NAKE <br /> <br />PHONE 8 C:~ '. ,12 &J. -OJ;;)? ~ <br />2<e.;:JhUYh i If, r/ <br />, f <br /> <br />&0/7 <br /> <br />PARCEL LD.f 03-- C:;tp "- d / - t)3/o ._~~ - os-t:o C) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:XNew Construction _Addition --..Alteration _Repair _Install . <br /> _Sign _Move _Deaolish <br />PROPOSED USE: -2LSingle FaallY _M/F ~t of Units ~M/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:_ffiu b; ~m <{! \ ~.~ ~ Lt P <br /> <br />BUILDING SIZE: C)f) X l,,(J , Square Feet. Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />_ELECTRICAL <br /> <br />I~ <br />$ j:1[;D <br /> <br />AMP Service <br /> <br />_MECHANICAL <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />'tYPE OF CONSTRUC'I'ION: _Block _Fraae _Steel fT\t:Jb,'/o<. lfuYl't <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />Other <br /> <br />IS 'PROJEC'I' IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />COMPANY C- t f-I ::JoroLqy\/ <br />State Cert. or Regist. f <br />City License Registration t <br />********************************* <br /> <br />COMPANY rUeJ..sL'lYl "MymQM <br />State Cert. or Regist. f <br />City License Registration . .;L. 7 r- <br />****************************************** <br /> <br /> <br />BUILDER <br /> <br />Signature <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />CONTRAC'I'OR SECTION <br /> <br />COMPANY oulk/ &tl5 <br />State Cert. or Regist. f <br />. y License Registration f <br />*************************** <br /> <br />r!7ob;/-( Jh/J1~ s,,/ac'Y' <br />'IX" <br /> <br />/ 70 <br /> <br />COMPANY ~h.f"s c.GS t file.. <br />State Cert. or Regist. t <br />City License Registration t J 7 <br />***************************************** <br /> <br />Signatur <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />