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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHEJJ-IIL.Mootl aJ'reQPl2{SE<; J ~~ . PHONE ,813 - (,BI-l(8if/ <br />OWNER'S ADDRESS "DB tJ. 8eArJDo~ BLvD.- BI2ArJO DN I Fe 3351/ <br />JOB ADDRESS KF(!. 56"01 NO(tn..1 6ALL BLvD. - Zef)ttie..H1 Ll> I r-L. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />-Hove <br /> <br />_DeJlolish <br /> <br />PROP9SED USE: _Single Faaily <br />/eo..ercial <br /> <br />_"'F _, of Units _"/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />flmOOFt,Ju - ,MOD/FlEa BfT('(M aJ <br />X 80 ,2800 Square Feet, / It; I <br /> <br />Height <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 30 <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />/ IP,l/75- <br />. <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 />--1IEGJlARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS V ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OP CONSTRUCTION: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />V' <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BIITI.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT.J:CTRIGIAtf <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />Sismature <br /> <br />PLUMB~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />KECBANICAI. <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />( OTRRR <br /> <br />Signature <br /> <br />COMPANY (!. ~ J RetJOvATlo,j J rtJ~. <br />-fki 7FtIJ!,o/ S..... Cert. or Regist.' Cc.e 05 t. '188 <br />City License Registration ## tJ...3. L;- <j <br />****************************************** <br /> <br />APPLICATION. APPROVED BY <br /> <br />PERKIT OFFICER. <br />