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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />71f r :g y-- c:v <br />6 -:29-97 <br /> <br />OWNER'S NAHK ~USS~l-L )'V\. <bRow,,( <br />OWNER'S ADDRESS S ::< 35 ti b:l G: E L ~ co 0 PT <br />JOB ADDRESS 4, 4- 5 S I L VE'R c': I R (' Cl~. 7"::' HILLS: <br />) <br />SUBDIVISION C H l4 L Fa ....11 <br /> <br />PHONE ~7'6 c) '1"6 'l. q- <br />Z 'H ILL S FL .-:?, '< '-I.. _ ( <br />--'-~ '- <br /> <br />r:::l :33~-4- \ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />\/\LLH ~ <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F _' of Units _M/H <br /> <br />_Coaaercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: P.. R: (r I ST K A r= D )Y\ 0 DEL <br />I I ( <br />BUILDING SIZE: 3 Cf xJi,~'b2 J 70 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 />v"BUILDING <br />~LECTRICAL <br />J KECllAMICAI. <br />-L'PLUKBING <br /> <br />$ <br /> <br />100 <br /> <br />Valuation of Total Construction <br /> <br />AtIP 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: ..L.Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />,/ <br />IS PROJECT IN FLOOD ZONE AREA? ~~ <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />(;) <br />11IL!)~~ Lt M. S~ \oM. L.'-^. <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY CXU C;C,ELL 22 t~ R,Ol,\..I/'\ <br />State Cert. or Regist. f (1:- O'..!, I (. \ \ <br />City License Registration f Z_Lr '3 <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />Sifmature ~ t J).~ rlt <br /> <br />COMPANY 9U5SELL iv' hQaLu"-l <br />'1}J r;) State Cert. or Regist. # R:. n ()() I 0 ")~ , _ <br />\I' 1: :::>vOLL."-^-. City License Registration' \ C?l, ~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ COMPANY 'XU <;S6L L ))1, '?> n. () Lv l---t <br />State Cert. or Regist.' CJ.=- L:. D :~"q, j q (. <br />' fYl. ~'j;O~ City License Registration' I n'l <br />****************************************** <br /> <br />~, <br /> <br />Signature <br /> <br />Signature <br /> <br />QNkLL <br /> <br />COMPANY <i< USC;FLl IV' 12> f\ ('l 1..) Id <br />n State Cert. or Regist. I} C. A CD Lj- I Z ..::; (t- <br />rYl ' 'J':) ~'^- City License Registration # II <br />A**A*******~****************************** <br /> <br />KECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration D <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />