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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. <br /> <br />'r( 'tD <br />() rJ ~/ <J 5 J- <br />7/ if ,9 I <br />LJ .:1t <br />l10~1 <br /> <br />OWNER'S NAME :rUG V S;~ Of -r A- <br />OWNER'S ADDRESs..5?' .:2.3/ - <br />JOB ADDRESS 1-.01'- & 131..'/( ~ <br /> <br />PHONE <br /> <br />J~ <br />2C / Iii h- I-tlft~ If r> <br /> <br />I 6r A4JOI-r I {) I-l <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1. D.' Z - Zto -' 2-1 - 00<10 ' 00 fD 0 <br /> <br />WORK PROPOSED: _Addition --..Alteration _Repair <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _, of Units ~ (/II oplk flfL <br /> _~ercial _Indust. _Swia. Pool _Other I-I-ftTYl E <br /> <br /> <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: J)fL, V {w (pI, C fl (L{Jvd I ST/~1t1 [,..J ;q u.. fC ~ /Z- P1 {)IJIJ {; /hL ;Jd41/~ <br /> <br />BUILDING SIZE: /-f{ X tit t , 3 Jtf Square Fe~tt <br />C/Vlpo,:r I w 0 Sa pr . <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />Height <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUtlBING <br /> <br />GAS <br /> <br />ROOFING SPECIALTY <br />$' f' AIlIJI61lF FtJIL LA t:: <br />_Fraae _Steel 5:/J'At Wilt(.,- otlter"C;n Ol/iJt.-l1/L r,'oI-f <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />BUIIDER COMPANY C<6J..6T ~UCI' CO,J Of:. (i#m/-( ~~ <br />J./f D.. II State Cert. or Regist. , O~-77 ~' <br />Signa_e :i::::J. J If ., e. ~ City License Registration . ~ (~ <br />****************************************** <br /> <br />=IAN ~ ~ COMPANY f-I{,Jt~ /UVTlC,ILfJ(ll9t <br />, State Cert:. or Regist. , ~ 000 <br />e V~ City License Registration' <br />****************************************** <br /> <br /> <br />v <br /> <br />PLUMBER. '"' COMPAN~"V}J(<; ttJ(LL ':!;/Yl ~ fLt//I'lO JJV~ <br />C"\ . I '~ State Cert. or Regist. , /(F 'h~ ~ '-7 "i? V' <br />Signature U .J2.AA..-\.r--. I ,{V 0 r~ City License Registration' 4:1- I 9 Z r) <br />********** ******************************* <br /> <br />Signature <br /> <br /> <br />COMPANY.!JDL-Pl-l/ N/::' t) I fl- ~ t.( 5 r ifill? <br />State Cert. or Regist. . ("A CO .t:;7 J If <br />City License Registration' /~~I <br />***************************************** <br /> <br />v <br /> <br />MECHANICAL <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />