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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />(J~t-/f/){'77 <br /> <br />OWNER'S NAME C.;r .!loL f11PfTD (,fL- PHONE 7"8 '2..-- O~ y) <br />OWNER'S ADDRESS 6/2,-0 / J7-fJ' .S'r' ~,rL (,.{Llk8 ,~ 33:. 5Vjo <br />JOB ADDRESS 0l~O I '&+V / <I' ~\1 '1 It lAH..l..\ "P\.- "\ ~ ~-S~ <br /> ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION <br />PARCEL I. D.' 0 c:2 - .:lfu ~ ,;) I - 6/90 - ,,) D D CJ 0 - a 'I~16BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --..Alteration _Repair ~Install <br /> _Sign _Kove _D9Iolish <br />PROPOSED USE: _Single Faaily _KIF _, of Units _K/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />Square F~et, 13l.{1'~Height <br /> <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK: <br />U";I/' X ., 11~", <br />BUILDING SIZE: J2 . =:J,:J <br /> <br /> <br />- N~Vflt- <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />--LBUILDING <br /> <br />$ <br /> <br />Cj1).3 ~ , ---- <br /> <br />Valuation of Total Construction <br /> <br />_ELECJ'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'IOR: _Block _FrUle _Steel <br /> <br />Other <br /> <br />Fl.RlSHED FLOOR ELEVATIORS: FT ..- IS PROJEC'r IN FLOOD ZONE AREA? V <br />YES NO <br />****************..**..*..***************** ~ ~ . <br /> <br />CONTRACTOR SJCTION qJJ- ~I.o' 1~1 <br /> <br />BUnnER ~. COMPANY ~~ S u-rew ~ ~ 'i ~ . <br />~~ State Cert. or Regist. , SCCDS"b.h>t <br />Signature 1{JH4JI . City License Registration' ~cS2- <br />. *********................*.*****.*....**** <br /> <br />F.l.F.CTRlClAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />**************.*************************** <br /> <br />SiimAture <br /> <br />PL~ER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />KECHANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*.**...*.*..~*...***.*.****.*.************ <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. f <br />t. ; .. City License Registration' <br />*..*~~#**.*.~..*..*.****..***...********** <br /> <br />Signature <br /> <br />('~J! ,j'. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />