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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME L~L(jvvJ c, /(ufiJ.,.-!;/J PHONE ?/J-7r.P6'-02Y3 <br />OWNER'S ADDRESS 3500 A.1/ A c.. MCif: I"< 07 . bf h:r,h,:!i.{ PI ~ ~Sy () LI- 4/ J> <br />JOB ADDRESS 2>600 ~7 Vl~""""'J'I',,,<-- tJ.~ / ~l:Y--j:iL( p/3..SS</6rLf,#/cr <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D. f '- 'I - J..t....z.. 2/ - 0 0 ~ 0 - 00 I 0 - Q \ ~BTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction -----^ddition --..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />----..Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----..H/F _, of Units ---.Ji/H <br /> <br />_CoB.ercial <br /> <br />___.Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: ~/ILIUaL.( ~ 1'1/ <br /> <br />BUILDING SIZE: .I..l.. <br /> <br />x3Y, <br />. <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 />. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />~ELEC'l'RICAL <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 />---1lECllANICAL <br />b~~NG <br /> <br />$ <br /> <br />Valuation of KechanicalInstallatio.n <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FI.NlSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY fAli f.,J' S41L ') <br />Ii I' J State Cert. or Regist. t <br />- __vv~. City License Registration I <br />~ -- ****************************************** <br /> <br />J?~(;. <br /> <br />Signature <br /> <br />ELECTRICIAN _ <br />sionAture~ ~~~ <br />. <br /> <br />COMPANY ALb U.' <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ COIlPANY {;(~t.J<;;t.l <br />. State Cert. or Regist. I <br />. .0?t.~ City License Registration' <br />, . ****************************************** <br /> <br />Signature <br /> <br />/.? Y t:- <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f . <br />Signature City License Registration f' <br />*********.******************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />