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<br />OWNER'S _ Go..doljc~ j)6('pf~ (! . <br />OWNER'S ADDRESS JI/5'1" II~A r <br />JOB ADDRESS LDTS 34 T 35 <br />LEGAL DESCRIPTION: LOT(S) 3t/ + 35 BLOCK SUBDIVISION ~~4/~' <br />03lfO / <br />PARcEL I. D.' 0"3 - a" (, - ~ I - C) 3/0 - 00000 Or we" FROK ~TY T411 NflTl;CEl <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />Fro sf PHONE <br />A~-(- C h A!:-Ll4t <br /> <br />']qJ- -'7- ;-10 . . <br />~. <br />78;).- ~;;. 7~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />V<:o <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />.. <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: !no/!,/ ~ a /~/1-t. B ser _~ J <br />I " I <br />BUILDING SIZE:c2' E x~g ,r8~-;).. Square Feet, 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 />t- BUILDING <br />-i=..ELEc:rnCAL <br />+-MEClWUCAL <br />-!---PLtJHB~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />f-~1 ~ <br /> <br />. <br /> <br />/ \0 <br />I 3 #-r) <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />*- W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />I%hrJe-- ~her <br /> <br />/' <br /> <br />TYPE OF CONSTRUct'ION: _Block <br />FINISHED FLOOR ELEVATIONS: JJ / IfFT . <br />, <br /> <br />_Fr8lle <br /> <br />_Steel <br /> <br />IS PROJEct' IN FLOOD ZONE AREA? <br /> <br />YES NO <br />.....................................*.*** ~ ~ <br />'?-' <br />CONTRACTOR SEC'rION N 4K ~~ <br /> <br />BUILDER ~ / .J 7..1 . ., =~~~~:t~ ~".= ~ ~,<e. / <br /> <br />Signature~/o. ~Vi.7~ ' ~ity License Registration # -fL% <br />...**...... ........*.*.......*.*...*..**. <br /> <br />RT.RCTRICIAN/ COMPANY t:?~, .' /f1V e~~ ~/ <br /> <br />Siimature ~~~~~~~~~~:~eL~~~~eo~e:~:~~:~i:n t j' <br /> <br />....*.....*.............**......***..*..*. <br /> <br />PLUMBER <br /> <br />~ COIlPAIIY ;f/e<-S/)^-, 4.."...... <br />State Cert. or Regist. . <br />.~ .., City License Registration t <br />..........**...........*.*.......*..*.***. <br /> <br /> <br /> / <br />/tlR- JJ,:J-1~ <br /> /' <br />7,f/ P '1 <br /> , i <br /> <br />Signature <br /> <br />MECHANICAL <br />SignatureJV ~ A3.....J...v <br /> <br />~ COMPANY <br />, ~~ State Cert. or Regist. # <br />I; ~ ;~ City License Registration' <br />.......*..*.~*.*.*****..............***.*. <br /> <br />OTHF.R <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />.*.**......*.**..**.***...***.****.**.***. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />