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<br />JA-../ ~r-t- /_ :> '2 (j ='. <br />APPLICATION FOR PERKIT .. I ~ -> 7 u <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT () . .. ... J 0 - ') - l'? <br /> <br />~ r ~, J ,-.-. (F'v1 <br />OliNER'S N~ ~' \..A~SrA-L~?..J t.J c-, l'HONE~13) rz2~- 1941 <br />OWNER'S ADDRESS B1o'1 ~ A l..L BI YD t 7~'(l2.h.Us A A \ 33.5L{j <br />JOB ADDRESS 5'M GA-LL..J>lvi:) I ruil''i~,ll~ 't=lA, 3~sq ( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.0.' (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ----..Alteration ~epair Llnstall <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.lolish <br /> <br />PROPOSED USE: _Single FOIily <br /> <br />_H/F <br /> <br />_, of Units ~/H <br /> <br />_eo..ercial _Indust. _Swu.. Pool _Other <br />~Restaurant & Health Department Approval <br />DESCRIPTION OF WORK::f'tVCZ:rAU ~R.~ S.u'fR~Sto." S'-(~~. <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 />~UILDING <br />LLECTRICAL <br />~CllANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrOle _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br />'-~ <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br /> <br />YES <br /> <br />NO <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Resist. , <br />City License Registration , <br />...,,;2',.., ..................... .......~ <br /> <br />. I COMPANY e L1() <br />(fJ1" State Cert. or Resist. . <br />. City License Registration , <br />~..... .....*.......~~....~........... <br /> <br />COMPANY' ~;? ~W <br /> <br />State Cert. or Resist. , <br />City License Registration f <br />........................*******. <br /> <br />COMPANy'~'?,>4_47 :~~/ <br /> <br />~ '(I (L State Cert. or Regist. t 7~ On 2>.Y'<;f<;.f. <br />Signature 'K~~ t~ ~~ City License Registration' :z 0<'/ <br />.......................................... / <br /> <br />COIlPANY~,,/~//~ 4~~s/ <br /> <br />--:> State Cert. or gist.' /J <09':>/0':3) ~~rJ <br />Signature {?C-" ;: ""<,dfft.- City License Registration' _ " <br />,./, ,.' .......................................... <br /> <br />~. <br /> <br />~ture <br />)\\,:--- <br /> <br /> <br />{; I t!; ~1t!r ~ I!-- <br />21.-7... <br /> <br />v <br /> <br />'~ <br /> <br />~' <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />