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<br />~I\~~ 2e. c; e./ed 10/<1/79 <br />APPLICATION FOR PERKIT ~ ,,_ 0 , <br />CITY OF ZEPHYRBILLS IO(~rLDO PASCO PERMIT SERVICE <br />BUILDING DEPARTKENT tl~ 81S-76S-S314 <br /> <br /> <br />OWNER'S NAHE-Bid1a.rd 5~b..i.e.d t'ns PHONE (i313) 7' 5 - II q y- <br />OWNER'S ADDRESS (~<-3 5?llo Rpmera... Ave., Zfl:ph'(rhiJJs) FL 335~ 0 <br />JOB ADDRESS 6a.n'\~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 51 +Vme.., <br />'Po.rk. <br />PARCEL I.D.'O~- ~Co- :;U- 0010-05100-0000 (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~Addition --.Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />. <br />PROPOSED USE: L-Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: WDDd f'n:1m~ ~1Q.~s roon-\ d.~lo~e In <br />, , 6e~ <br />BUILDING SIZE: 10 X a.O. / :;'0 Square Fee~. pl4.\\.c.. Height <br /> <br />ea...r poc T wI oc..l"'ee..n . <br />l <br /> <br />RESIDENTIAL : <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />L-ELECTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida. Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAInCAL <br /> <br />$ <br /> <br />Valuation. of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _Block ,,/ Fraae _Steel -<2J '^'~ I'lc.u',,", Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUII.DER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY &..hr-$ A\\A..W\i t')L4.0"\. .... l:fo..raw:u"e) ~nc.. <br />State Cert. or Regist. . <br />City License Registration' } lS <br />****************************************** <br /> <br /> <br />Signature <br /> <br />COMPANY Ft' t<:. S'.t. {' JA~ 2;. S I~ c:tj(' , 'e- <br />State Cert. or Regist. t t")0 ~ J7 <br />City License Registration t./" <br />**************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />