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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE i -l ~ ~ <br /> <br />/' P 0,,--4 S t II-r. h., ) <br /> <br />L \) 1I I:) '2 - ~ ,', \ s <br />) <br />LEGAL DESCRIPTION: LOT(S) () S ~ J- uS ('\ BLOCK D\)~\)~SUBDIVISION () I 6lJ - lIJ (,\ '-1 \vJ 0.."" c\ l'J I hd <br />\ A '\ , . (\ \ I' 1\" C) Q\:::l _. U':; '6 I <br />PARCEL I. D. f "1 - l 6 (j-. \ U t> \J ~ \J V J- D S v\ (OBTAIN FROM PROPERTY TAX NOTICE) . <br /> <br />WORK PROPOSED: ~ New Construction _Addition ~lteration _Repair _Install <br /> <br />'j; "' h " L I ,~\ \ " u., <br />OWNER'S NAME L W <br />OWNER'S ADDRESS ~ L\ to I 2. c:\ ~ t \- C CA \; t. \ \ <br />JOB ADDRESS ~ ~ 0 4 ('1 L (A \JJ C\ '" d Cr- <br /> <br />~S<)D <br />f"\ - <br /> <br />_Sign <br /> <br />~ove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: V Single F8IIlllY <br /> <br />_M/F _' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: '} ~ <br /> <br />Restaurant & Health Department Approval <br />1 h ~ * ~ \ t m \) b; \ '- \-, \) Iv-- (. <br /> <br />X l 6, 'd- 1 ~ ~ <br /> <br />Square Feet. <br /> <br />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 />~o C1Gv <br /> <br />PERMITS REOUESTED <br /> <br />,. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECIIAlifICAL <br /> <br />$ <br /> <br />\.A.J <br />~Stl ' <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING SPECIALTY <br /> <br />nPE OF CONSTRUCTION: Block _Fralle _Steel ~tJ~;I\~ Hut- <., Other <br />?,y <br />FIRISBED FLOOR ELEVATIONS: ~ FT. IS 'PROJECT IN FLOOD ZONE AREA? V <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />COMPANY 1(;, \v- r v- ~ (A, '1 s\ J ~ \ -, u Vv- Q. S <br />State Cert. or Regist. f -p H - ,l a- 1 J- <br />City License Registration' / 9 ~..3 <br />****************************************** ~ I <br /> <br />COMPANY ~ '1 O"^ \1\ ~ I..- - l~ (A v\'''1 ~v (J \ '" ~ <br />State Cert. or Regist. t tv I A V- <br />City License Registration t <br />*************************~************** <br /> <br />.t.._ COMPANY 'fA "" '" ~ \l\ <br />~ State Cert. or Regist. . <br />City License Registration f <br />************************~***********~* <br /> <br />MECHANICAL ." COMPANY . ~ s. A ~ <br />.1 ..~ ).. State Cert. or R gist.' C. <br />Signature 'U1J1V\.DJt lU .' . City License Registration' <br />~~ ********~****************************** <br /> <br />Signature <br /> <br /> <br />L <br /> <br />v <br /> <br />RUn.DER <br /> <br />~ <br /> <br />PLUMBER <br /> <br /> <br />v-- <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />