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<br />APPLICATION FOR PERKIT')_3 - 77 <br />CITY OF ZEPHYRHILLS ~ <br />BUILDING DEPARTMENT I <br /> <br /> <br />=:: ::RESS ~~:, ~ ~~~oP:~~~ H~y _ 2:fI;~~!g~~/' <br /> <br />JOB ADDRESS !l'l31 J 0 ib .sT. 2e..yJ h y r II SitS. 335' C{. () <br />LEGAL DESCRIPTION: LOT(S) q + J D BWCK :.?t.( SUBDIVISION C I "fY or 2E.fJiy (:'H-IL L S <br />PARCEL 1. D.' 11-;;) to - ..:2 I - DO' /) - o.;;t '+01"1 - 00'1 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: V New Construction _Addition _Alteration v--Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: v/ Single Faaily <br /> <br />_KIF _' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />____Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: Re.p<D(' Cb~reie po~ 41001"'- repla.c...e. <br /> <br />BUILDING SIZE: III X %' , Square Feet, ,.,' Height <br />pE>~er pCAA <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 />10 0 rc...h 'f'DO-t aJ\d <br />, s+-o fLd-e roo,n , <br /> <br />PERMITS REOUESTED <br /> <br />V/ BUILDING <br /> <br />(;)D <br />,$J;75'o- <br /> <br />Valuation of Total Construction. <br /> <br />.- ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CHANICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />- PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block VFr8lle _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? V <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DER D to i'1 e-~~f'c!l'; ~e (i:(\c! COMPANY ~ d.(l.cl R. s tl ff.T IY\E."'T A L <br /> <br />C-:J ~ ~ fI fl.- State Cert. or Regist.' oo;l ::2 (,. g <br />Signature ~~ Ii\ . \ K ~O\OV City License Registration . ~ ~ If <br />***** ************************************ <br /> <br />RI.RCTRICIAN COMPANY <br />State Cert. or Regist.' <br />SiDnAture City License Registration t <br />****************************************** <br /> <br />PLUMBER. COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />