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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE II-./-- R T f/'fer&iltf~ /41oiJ/le /foI11U PHONE <br />OWER'S ADDII1lSS 35;U 7 flw 5l( 0. - 2r""r/J.lls <br />JDB ADDRESS ~of 'IF;),8 7effrr ~'fJe.. ( <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' eJ1- d.&; - J (- 63 10 - OOOO()- O~O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />FI-:S -7f~:l- ~a'7~ <br />335/ <br /> <br />WORK PROPOSED:_New Construction _Addition ---lU.teration _Repair _Install <br /> _Sign / _Hove _Deaolish <br /> Z F_lty <br />PROPOSED USE: _H/F _' of Units _HIH <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: Lslt+1! l1efJ..J I11AI1{/I~ciJr-eJ hOMt2.. <br />BUILDING SIZE: 02~ I x~O: 1'500 Square Feet. 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 />_BUILDING <br /> <br />$ '/~ bOO <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />/ {7J AMP Service <br /> <br />/ q~{) <br /> <br />Florida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />----1fECllARICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~. <br /> <br />YES NO <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fralle _Steel Other <br /> <br />............******.**.*****.*****.******** <br /> <br />:.::~ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY i5rtfer€ed /V106;/e f/ome 5;r V;C-€- <br />State Cert. or Regist. , <br />City License Registration , ~ <br />*************************************** <br /> <br />~ CllIIPAlIY (}/I/rertu 3rdAfl <br />State Cert. or Regist. , <br />~ City License Registration' l70 <br />*.***. ****.****.*****.***.**.*********** <br /> <br />BUILDER <br /> <br /> <br />Signature <br /> <br />PLUHBER <br /> <br /> <br />~~~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*****.**.**********.***********..********* <br /> <br />Signature <br /> <br />HEGHANICAL <br /> <br />COMPANY fJ-; *' ^ r IJ'I 1e r sfft,fe f11 If, <br /> <br />State Cert. or Regist. I <br />City License Registration' ;). 7~ <br />.**.***.*.*~..**.*****.*.*.*.*..********** <br /> <br />Signature <br /> <br />CO/fPAlIY it! b,. S P""illl/l. a -+1\ Iflld <br /> <br />State Cert. or Regi ., <br />City License Registration' 117 <br />..........***.**.*..*.***...**..*.*******. <br /> <br />A~ <br /> <br />.' <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />