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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />4;\Jt4- W~rI$/2- <br /> <br />OWNER'S ADDRESS J B -; I B w (f'JO PLau.A4~ <br />~. <br /> <br />1Jvt2 <br /> <br />PHONE 81/- /8~ij/'0 <br />~,.....HIUJ 3"3 ~YO <br /> <br />JOB ADDRESS <br /> <br />E <br /> <br />LEGAL DESCRIPTION: LOT(S) l) 0 BLOCK <br />o d- - a.-b - d-.I - OD I D --f) S-l20 -CiXJU <br /> <br />SUBDIVISION <br /> <br />s;..~/z-(J 'I <br /> <br />-;r-zL.(,M) frI I-J-,# <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units <br /> <br />XH/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WO~: ((6. - QoiJF W/S1rJbt.r1i: - r-?i-,7" M~v'VlljYl.f1NL <br />I <br />BUILDING SIZE: /;2.. X s8, 6tJ(J Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />btrrLDIBG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />d-31r.DO <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 />-1IECllAllICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />'CONTRACTOR SECTION <br /> <br />RUn.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />Rl.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiA'nAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />......*.............**..*....**........... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />COMPANY Cw,PorLT Cv;;a.... $..siT,,-1-,-r <br />State Cert. or Regist.' cc(;: 0$'/0'7/ <br />City License Registration' o?/9/ <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR /lcVYIh <br />(Signature ~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />