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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT - 177-1:,tl/ <br />-- <br /> <br />OIiIlER's NAIlE/0",w6""V'EA'/;'~ Lh/zy /11~s PII0NII ;:>:13- ;7/71" <br />OWNER'S ADDRESS 3~?.22 57?/k, ~~~~~~~ 335Y-O <br />~??7?7,L . / <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.,//'z{;:?/c;O/O/;?7000C> ;/'C? <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition -..Alteration _Repair ~all <br /> <br />_Sign <br /> <br />---.JIove <br /> <br />_Deaolish <br /> <br />pmPOsmOOE: ~eFaailY <br /> <br />_KIF <br /> <br />-' of Units ----1'I/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESClUPTION OF WOIlK: Hie aA/4'/?~4/ ~~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERClAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTm <br /> <br />_BUILDING <br />V;;;GTRICAL <br />~CAL <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 />$ ~ 9 t.j b [rJ-V Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS pmJECT IN FLOOD ZONE AREA'l <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT .l)ER <br /> <br />RT.RCTRICIAN <br /> <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />COMPANY G:t"1 L" f'o tf pi ;/1/ <br />State Cert. or Regist. t ~ ~//'~~~ <br />City License Registration . cf !)-.;}", <... <br />........................... <br /> <br />~ <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />........................*.*.....*...*.*... <br />I <br />COMPANY --=S-~?75 ~4~a:6 <br />State Cert. or Regist. , <br />City License Registration' ':<.5?..::<,/ <br />................*........*......*..*..*... <br /> <br />Signature <br /> <br />U~CAI. A // ~ <br /> <br />Signature - ~/ h//:' <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />....................*..*.................. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />