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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME Or"^,~-e- ff/pSSCrI ~1~1f,~ .t9 Jfp c_ , <br /> <br />PHONE <br /> <br />?i r- Dt)o7 <br /> <br />OWNER'S ADDRESS '/6/ S- /3/0 s.s l~ PI Illve/' "2 ~ ~/I, /,(, :1 3~-~ / <br />, <br /> <br />JOB ADDRESS :3 7 $03 - os- - ()1- 07 # /;'.$..J-? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION tJl""'-~e-- Jl/tJJ.f.,,., "f"N~ <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />..... <br /> <br />WORK PROPOSED:_New Construction _Addition --.Al.te rat ion .....x..Repair _Install <br /> ... <br /> _Sign -Jove _Deaolish <br /> iSiogle . -!i....., of Units <br />PROPOSED USE: Faaily _H/F _M/H <br /> ,"" <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />f1 e ~ flt-~ ~ !>" "/V)"(./ I. o~ f <br />, , <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />s- ).,00 ~ Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 />PERMl;TS REOUESTED <br /> <br />_BUILDING <br /> <br />10" <br />$ 57,> ;>-- <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l"RlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGJlANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />'" ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUGTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT.nER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />RT .RC'l"RlClAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SilntAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <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 />Signature <br /> <br />OTHRR <br /> <br /> <br />COMPANY ~w-e.!lJ ,fO{}J('? (0. <br />State Cert. or Regist. .~C' 00;( ~,~ J 50- <br />City License Registration # '88'0 <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION <br /> <br />PERMIT OFFICER. <br />