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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />#'-2\0'6 <br /> <br />$3l)jcro <br /> <br />OWNER'S NAME <br /> <br />"&ra c1"lY'l I <br /> <br />\ f'e..V\ ~ <br /> <br />PHONE <br /> <br />BI:'\ 11 15. 07B7 <br />, <br /> <br />OWNER'S ADDRESS <br /> <br />5~~.l\- <br />l=Orn.t <br />5c:,~~ <br /> <br />Fl')r~~+- <br />V . \\a~ <br />'fi ~rot ~ 1'" <br /> <br />L~V\e- J Zeph\!rh'\\\~,. f=L <br />\~V\'t' Z.:t'~h'lrh'. \\....\ ~L <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' }c)'LiD.? 1.1)\\0. OODDO.QDCVl (OBTAIN FROM PROPERTY TAX NOTICE) <br />~{. r20~ <br />WORK PROPOSED:_New Construction _Addition _Alteration ~Repair ____Install <br /> <br />_Sign <br /> <br />--"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ngle Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: ~VI\~~ \oQ. R.o'. 'R nk G S3 2/::, s.c.l <,.) <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ Z.?:A-(".Si <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 />_KECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ~ ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COBSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />*************~**************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY_rY\\ \S:w- (D~lACH OV\, \ 'M- , <br />State Cert. .0J:.. Regbt!. #I ~~ {)OS~2..\'S <br />City License Registration t ~I <br />****************************************** . <br /> <br />OTHF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />