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<br />APPLICATION FOR PERK!T <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPART"~'1'" <br /> <br />PASCO PERMIT SERVICE <br />813-788-5314 <br />Ie, ,-3(-r7 <br />PHONE L <br /> <br />OWNER' S NAME <br /> <br />,~ ~ e-) \' ~ Ii (' kYloV' <br />38 05 -g <br />~ q) idf ~t:) <br /> <br />OWRER' S ADDRESS <br /> <br />ltfWQholQ <br />My~'i'W/ <br /> <br />.LoouJ <br /> <br />/e;/'I?/ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' I 1./ ~;) It> - d) - [) / ~D ~ Oocoo -- 0050 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~w Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />pmPOSD~E: ~i~eF_i~ <br /> <br />_H/F _, of Units ____M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant & Health Department Approval <br />DESCRIPTION OF WORK: LA rp'D r-T ~ LDhCxe ie~ <br />BUILDING SIZE: 3?5' X I D. 3rg L' Square Feet, cg' Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ArrACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) 'SET ENERGY FORKS. <br />ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />$ <br /> <br />00 <br />J d.[)O- <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Const1~ction <br /> <br />RI"~CTRICAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-1IECllARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />PIRISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RUTLDRR <br />Signature )( ~ <br />, <br /> <br />~7i- <br /> <br />COMPANY OLD/\) E~ <br /> <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RI.RC'l'RTCIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />....*..................................... <br /> <br />Si.ulAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />tlECllANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......*...............*..*.*...*...*..... <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERMIT OFFICER. <br />