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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(5{J 9-itlAf1 <br />t/ 70 J'~ <br /> <br />OWNER'S NAME 7lDh e Lib 5eu 'ppE/2- <br />OWNER'S ADDRESS -;;'::;0 . I ~,-- ~ ~ -- .:LE-P#tj,eJl/LL5. 33.J3 9 <br />/ I -.. --.L I:i:. .5-r.G.fJJI~'5 ~LG;J <br />JOB ADDRESS b 9~tI- )J~~tffLAK6 Vie.. - L IJZ-6.f= /4I;:;sE :3 - ...5iL-UGif?-, OA-K's Sug <br />LEGAL DESCRIPTION: LOT(S) 6 S- BLOCK SUBDIVISION ...5/LU~ tD/..:t KS <br />PARCEL LD.' 1/3-.A~ -~/~ 0/ Fe; -OCJCJOO-Ob~TAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />1'YF-/bJ>3 <br /> <br />WORK PROPOSED:X-New Construction _Addition -..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---...Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />_M/F _' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~?&S /DE/II(!~ <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 />~~LDING <br />~EuC'fRICAL <br />~HECHANICAL <br /> <br />$ <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 />-1..::::::I't1DING GAS ROOFING <br />TYPE OF CONSTRUCTION: ,LBlock _Fraae _Steel <br /> <br />SPECIALTY <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 />BUILDER <br /> <br /> <br />CONTRACTOR SECTION ,,/ <br /> <br />COMPANY At- th1,--~ tJ-'?v^-1L0). <br />State Cert. or Regist. , <br />City License Registration , <br />.**..............*.........**............. <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiMlAture ~,(l . <br /> <br />. / COMPANY 1 , <br />'-I:? ~//t., 1 c"' State Cert. or Regist. # <br />/ · l:A..f ct-ctt/'L City License Registration' <br />) , *..*..*.**.................****........... <br /> <br />PLUKBER <br /> <br />/" <br />1) ~ J COMPANY \ \ <br />(I ~ filA / j State Cert. or Regist. , <br />~' ,....... C'- t...LtJ-..t?Lf2'1 City License Registration . <br />/ .......*.*.........*......*.**............ <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />*.*.....***.*...........**.......*......*. <br /> <br />\ , <br /> <br />HEGBARICAL <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />*****.*.*...***...**...*******.*.......... <br /> <br />, \ <br /> <br />OTRF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />