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<br />OWNER' S NAME ;t1~ /I era.. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />aettki~, <br /> <br />PHONE <br /> <br />; 7J;;2-11Jl( <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />3Q{J3(, <br /> <br />2- -e{'hr Ave.. <br /> <br />BLOCK <br /> <br />- t<~~-kl <br /> <br />LEGAL DESGRlPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' /;/.-)..(0- 52-1.... 0t13tJ-L1j3(Jo-aJ3:J <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install. <br /> <br />_Sign <br /> <br />-'love <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units -'lIH <br /> <br />_~ercial <br /> <br />_lndust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br /><;j( er(}trP" <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />d.. ,'-f CIJ, ~ <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />--"EGHAlfICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />F'f . <br /> <br />IS PROJECI' IN FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />~~ <br />BUTT.DER <br />/ <br />Signat City License Registration . <br />****************************************** <br /> <br /> <br />F.T.RGTRIGIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />KEGBANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTIIF.R <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. ~ <br /> <br />~. <br />