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<br />~~~11~/7 <br /> <br />APPLICATION FOR PERKIT '\"" v--- <br />CITY OF ZEPHYRHILLS ~ <br />BUILDING DEPARTMENT 7~ J.. L: I v( <br /> <br /> <br />OWNER t S NAKE t.k~tJv; ~ OtJ"fC e. <br />OWNER t S ADDRESS 5" 1/ "3 <'/- '7~ sf, <br /> <br />JOB ADDRESS <br /> <br />...- <br />SAm!:: <br /> <br />+- A/~..u?o/' f?c;V14Ui::!-. PHONE 7/3- '/3 '&"5 - eeLL. <br />, <br /> <br />2 -€/yhY;A j, //Is 7-1 3;>57'C; <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' / J- ')...~-,).. /-0 01 0- ).../:J.a 0 - (;J ISO <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration LRepair _Install <br /> <br />CO' - <br /> <br />_Demolish <br /> <br />PROPOSED USE: -1 <br /> <br />..D <br />~-:LoO ' "- <br /> <br />5 .;::.1::- <br />7.-. <br /> <br />BW')b. <br />ti--'-f-C-. <br /> <br />_, of Units _H/H <br /> <br />_Swim. Pool _Other <br /> <br />DESCRIPTION OF WOR ~ 2 2S: c:,b <br />BUILDING SIZE: _ <br /> <br />IvaI <br /> <br />a:r <br /> <br />_Height <br /> <br />RESIDENTIAL: ATTAl <br />COMMERCIAL: ATTA( <br />PROPI <br /> <br />~ING PLANS & (1) SET ENERGY FORMS. <br />iET ENERGY FORMS. <br />;TRUCTION. <br /> <br />-LBUlLDING <br />lELECTRICAL <br /> <br />_...--J <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECIIAlilCAL <br /> <br />$ <br /> <br />_PLUtlBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block _Fraae _Steel Other <br />FINISHED FLOOR ELEVATIONS: FT" tV ~ IS PROJECT IN FLOOD ZONE AREA? <br /> <br />Il/If <br /> <br />...........****..*..***..**.************** <br /> <br />YES NO <br /> <br />Bun.DER <br /> <br />%ct <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />cotIPANY_& -rr~ r g<<~ iT ("OJ?~?: L (' . <br />State Cert. or Regist. . ~J)oo 5> q Of 3 / <br />City License Registration . 107 <br />*************************.**************** <br /> <br />Signature <br /> <br />F.T.F.CTRICIAR /J , COMPANY ;(;c;; ~ C/<'~#<J.4L L li-Ck('77(IC4L <:"(J-iVTtf?+c..r(j~ <br />'V ~/ '. jJ /7 /"' A State Cert. or Regist. . <br />SiMlAture Il.-V'....z:<.z~f/-. ~ City License Registration f (J~.;2. <br />. ****************************************** <br /> <br />PLUMB~ COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />HECIIAlilCAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************.************* <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />