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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br />.1}1,.CJ.JJk.l..- J. Rd(~ Ala- /VI./? <br />OWNER'S NAKE .:Jol,ll t. Huff <br />OWNER'S ADDRESS '5811 ~~~ ~T, :ze;ph'l1( ~Ju. ~ PL. 73~S4D-?/7~1 <br />~~ Db ~l1l-J I V/I'l b~. Zeph y~J",LlS "FL. <br />J <br />LEGAL DESCRIPTION: LOT(S)~BLOCK SUBDIVISION "5TttJl(j~ p~ <br /> <br />Ub40' f-#(~ ,3~ . <br />c;J,f If V , :1" ,,05- <br />'() j - a '7-''1/~ <br /> <br />PDONE7'i-z....- I J 10 () <br /> <br />JOB ADDRESS <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ./ Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br /> . <br />PROPOSED USE: _Single Faaily _KIF _' of Units _MID <br /> Vec-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />(J - ~ - / .../'/ <br />I JJTeA"e'< ~,,~ Dut ~ V~c..l~b DR'"l~e <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: 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 />S~I ~OO <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 />_MECHANICAl. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />-TYPE OF CONSTRUCTION: _Block -S _~ <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br />L ',", <br /> <br />****************************************** <br /> <br />YES <br /> <br />NO <br /> <br />( ~ (.!J) q? 7 - c61lJ (') CONTRACTOR SECTION _ <br /> <br />BUILDER L . .' d3~~COKPANY V/+Ne.-K ~~l.... -Lt0L. <br />/ - - State Cert. or Regist. . (! '0 'C.O 3"1 'XC! '7 <br />Signature ~P-i!4e'-'" T ~ City License -Registration' .2" 0:2. '! <br />****************************************** <br /> <br />/ <br /> <br />COMPANY 1111/ llt[htiS f..... L(('?c1 (I" (' / i1 C- /' <br />/1/~ ~/7/'"' State Cert. or gist.' ctC6C'/t? r9/ V <br />~~~ City License Registration t ~()Sl <br /> <br /> <br />- ..............;~i~.~:~~~ ~() ~~.-; / <br /> <br />City License Registration' ..:1;"") r <br />****************************************** <br /> <br /> <br />/s~-.;:~u <br /> <br />RT.RCTRICIAN <br />SignAture ~ <br /> <br />PLUMBER <br /> <br /> <br />Signature <br /> <br />~ <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. ,; <br />