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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />^?LQ,vM <br />C~' <br /> <br />~-3 -9 <j, <br /> <br />--- <br /> <br />OWNER'S NAME /::5/11 tf/Y >/~ <br />OWNER'S ADDRESS ;:;92/ 1 hrpi, Lcrh y~ <br />JOB ADDRESS 9q ~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 5/1 ~/~ {Jcr):::: 5' <br />PARCEL I.D.# () '3 - 2. (0 ~ 2. J - '" / j?O ---tJ.t>t'*-66rO (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:-LNew Construction --Addition, -..Alteration ~epair -LInstall <br /> <br />PHONE )7/F~ 9'5'~~ <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: -Lsingle Family <br /> <br />_KIF _' of Units --1l/H <br /> <br />_Coulercial <br /> <br />_lndust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WO~: (''0/1 crt-Ie 5 ~i>, ? c ~ ~~P-, <br />. / <br />BUILDING SIZE: Lj x:3? /vi Square Feet, c; '? raeight <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ 1 ~ JI <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 />_KECHAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />41t/#(, <br /> <br />other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ....t . <br />YES N~.~~ LAA <br />****************************************** ~~~ of' <br /> <br />CONTRACfOR SRCTIOR ./l~ ~31ql <br />/1- / .d/ '7~(!) <br />BUILDER COMPANY /f"v' / /r / P'/-v,,;;' ~.---/-"'7 <br />,/,/ d .4p~ State Cert. or Regist. I ..-eY'::?O' .5C7~ <br />Signature /~~ City License Registration I 33:F-41er ..n'l-IlII/"1. <br />** ************************************** / <br /> <br />F.T .F.CTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration I <br />****************************************** <br /> <br />Silmature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />KECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration * <br />****************************************** <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City L!~~~.Registra~ion # <br />*************.**************************** <br /> <br />~ <br />~PL-![CATION APPROVED BY <br />I, <br /> <br />PERMIT OFFICER. <br />