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<br />APPLICATION FOR PKRKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME f=)Jsel ~o.rr\ BOn <br />OWNER'S ADDRESS 0<:6 7dJ VlXC 1\(\ (' f <br />JOB ADDRESS GCGJcXJ \( u\cc\n CS'. <br /> <br />PHONE~(:\~.7<?2' CJ3(oC:f_ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION VI Hose I C1ove, <br /> <br />PARCEL I. D. # (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction --.-.Addition ---..Alteration ____epair /' Install <br />c)A0- 'l\~ ~ O~)\- <br /> <br />_Sign <br /> <br />--"ove <br /> <br />-PeIIOlish <br /> <br />PROPOSED USE: _Siogle Faaily <br /> <br />----.Jf./F _' of Units /K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---Restaurant & Health Departaent Approval , <br />DESCRIPTION OF WORK~~t01l 3-~-Q~)n \O'hL~ \--\ej l .(t( c ovd w,{e, Ale..! <br /> <br />BUILDING SIZE: <br /> <br />x <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: ATTAaI (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDING <br />/' RI.RC'J'RICAL <br />.LJmawnCAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />$ {fJO'--\. 9) <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of tlechanical Installation <br /> <br />---.:PLUtIBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F CONSTRUCTION: ~1oclt _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISJIBD FLOOR ELBVAnOllfS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DER <br /> <br />cotIPANY <br />State Cert. or Regist. # <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RI.RCTRICIAII . COMPANY Nee Pi,. Or7~ <br />::: /ltd!. 'Iii ci: :iJ State Cert. or BeBist. , . ':dol <br />.- " e DC . .~ City Liceose 1legi8tr8tioa' 1'67 <br />......................................... <br /> <br />PLUMBER <br /> <br />cotIPANY <br />State Cert. or Regist. # <br />City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />HECBANICAL cotIPANYffce Ar on~ c;7'ev. <br />7Jr:. .It Lt~c1;., State Cert. or lle8ist.' ,OCl'lb,r <br />Signature J C ~'J.. ()}( City License Registration' L{~ <br />......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PBRKIT OFFICER. <br />