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<br />.4. LJJ fl ._T~n~~~\:',' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.?I? ? -..? Y o-1J <br />6 ~;2~-r7 <br /> <br />PHONE <7'Z() / e62J~_ <br />Z ' Ii I LL S PI- 3, '2 ~.; I. J- ( <br /> <br />-, 0'- (. \ <br />(-.3,,-:>S ~e <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />V\LLVl <:,. <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction _Addition _Alteration <br /> <br />_Repair ____Install <br /> <br />_SIgn <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~S Ingle Faa ily <br /> <br />_M/F _, of Units ____M/H <br /> <br />____COII8ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: f< l2" (r , ST K n. r= D 'yY\ 0 DEL <br />I, ( <br />BUILDING SIZE: ~XJ{,-:S'b7. J7 0'3 Square Feet, '3 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 />~LECTRICAL <br />/ MECIIAlHCAL <br />~PLUMBING <br /> <br />$ <br /> <br />100 <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 />TYPE OF CONSTRUCTION: -LBlock _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? \. ,./ <br />YES NO <br /> <br />*.****.***.*.*.********.******.**.******** <br /> <br />, t <br /> <br />BUILDER <br /> <br />C) <br />/1/ L'1~ji Lt QY\, <j~ \-(""t lAA. <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY Cx U C,C. (::{. C IV' (' i-:.s f{ (J t \ ,', \ <br />State Cert. or Regist. # C (~. ( Co '-.2, \ ( \ \ <br />City License Registration' 7.'+7., <br />.************..***.*********************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />(;-) <br />SifUUlture i\.ll 1)/) Q tt <br /> <br />COMPANY Cf< LJ S C; G' L L h/\ <br /> <br />,{\ 1 (-;)-"\-()LI -v-- State Cert. or Regist. 41 JC n <br />~IJ L/ ~ City License Registration # <br />**********..****.****..****************.*. <br /> <br />,- <br />l-S '\~(Jl.~_'I'-~ <br />tee), () "'i'-:> , <br />1, {"-y, <br /> <br />Signature <br /> <br />n . 1\'1 c:J <br />~ ,:1. ,!j1{)UAA.... <br /> <br />COMPANY 'XUC;SGLL }Y\, J=~ ~~ OL-0/~ <br />State Cert. or Regist.' C\='(~.C; :',q-fcf (. <br />City License Registration 41 11"'-' <br />******.*********************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Q~~ <br /> <br />COMPANY Cf< UC;S6L2 lv, ~G R(\\~) ,,,I <br />''''" n State Cert. or Regist. 41 C t1 CC:..J ,+ I Z -,; c.+- <br />) r I . ',\"::J~ City License Registration f -I, <br />***********~****************************** <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />*********************.******************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />