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<br />-,/"') c.1fC" <br />/ 5v~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />------_..~~-- <br /> <br />, /H' I <br />~~f <br /> <br />OWNER'S NAKE <br /> <br />(~(~R::r <br /> <br />~WLIAJ(/-5> <br /> <br />PHONE <br /> <br />OWNER t S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESGRlPTION: I.OT(S) <br /> <br />b~ <br /> <br />BLOCK <br /> <br />SUBDIVISION F JV1P ~ ~ f () II\JTtL <br /> <br />PARCEL I. D,' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Depart:aent Approval <br />DESCRIPTION OF WORK: mo (1 ( c ~ s. 81 ) pL U r'\ 0:> <br />BUILDING SIZE: X Square ~eet, 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 />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />W.R.E.C. <br /> <br />--1fEGllANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT, <br /> <br />IS PROJEC1' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Bun.nER <br /> <br /> <br />CONTRAC1'OR SECTION p4f2t(' MofJ[t.. 5 <br /> <br />COMPANY ~fKIP gfY1EfUK-(J ~ ,':tNt::., <br />State Cert. or Regist. . <br />City License Registration . ;~C?~/ <br />************************ ************** <br /> <br />Signature <br /> <br />RT.RGTRIGIAN ~&.- <br /> <br />I <br /> <br />~ <br /> <br /> <br />COMPANY <br />State Cert. or Regis. . 8Lo-vt>z~t <br />City License Registration' ~ <br />****************************************** <br /> <br />PLUHB~ COMPANY ]VA.J2.:;? <br />~ ~ State CerL or Regist. , <br />Signature . -c . --. City License Registration . <br />~ * **** ****************** ************** <br /> <br />v- 5o}v) <br />'211 ~ <br /> <br />~ ~_ctz;c: COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />***********~****************************** <br /> <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />