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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,~~1~ . <br />f)/ <br /> <br />OWNER'S NAKE <br /> <br />I/VI . C tt?~ p / fh. /.- Ie (9 y -I ~ If I .~ <br />, <br /> <br />..s J 1..1/ /7 v c. s: 11) .. Ta J--"-1 jJ cl j P/ ~ ~ 6 / ? <br />, , <br /> <br />1.- }. N .' b;r, , .:z -e ~ i v r it .' / h j ~ /1',. .lj. ~0 -I // 0 <br />./ ., ". <br /> <br />PHONE <br /> <br />6db--S-&9'6 <br /> <br />OWNER'S ADDRESS 7.:l () ~ <br /> <br />JOB ADDRESS <br /> <br />- <br />t,S~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. 1 t) J. - J ~ -~ I ~ 6) t!J J /7 __ ~ I} t!I () t!I - tJ () 7' CJ (OBTAIN FROK PROPERTY TAX NQTICE) <br />WORK PROPOSED:_New Construction --^ddition ~eration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />~ ec:-ercial <br /> <br />_KIF _' of Units _K/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: T lY If It, '0 /C <br /> <br />,.e e 14-r.tJ elt" /. '/--10 <br />;' <br /> <br />I <br />.s:' e P f' JC> ~ 7,c.: <br /> <br />LI ./L/ . - ;/ -!: <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 FORKS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & .(1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br /><J t1 <br />$ ~ S-? / .:::--- <br /> <br />PERKITS REOUESTED <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 />~CIIANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COKPANY 06 4.J' I 1.., S- trt--, ,.. j- he" N,f 1-. <br />/7 ---- ~ # ~ U State Cert. or Regist. 1 If h~ ~ 7 3~ 4 I <br />Signature~ /t ~ City License Registration 1 d ~? <br />****************************************** <br /> <br />/ <br /> <br /> <br />COKPANY r:t'e c L C/ ..ere ~~ <br />State Cert. or Regist. 'I t!K3//,C;-i-:Z <br />City License Registration' /0<0/ <br />********************************** <br /> <br />/ <br /> <br />PLUMBER. <br /> <br />d COIIPANY /7. ' <br /> <br />-. ",/ - ~ State Cert. or Regist. 1 <br />.../,~ ~ Q tf3~ City License Registration t <br />****************************************** <br /> <br /> <br />./ <br /> <br />Signature <br /> <br />KEGHANICAL COKPANY <br />State Cert. or Regist. I <br />Signature City License Registration 1 <br />****************************************** <br /> <br />OTRRR GOKPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************.. <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />