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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER t S NAME <br /> <br />Sh.AlAJrv <br /> <br />PHONE <br /> <br />OWNER t S ADDRESS <br /> <br />31 3 V ::J. <br />'~g Ob4 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />w~~ Wj;vJs <br /> <br />PARCEL I.D.# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ---^ddition --..Alteration ---...Repair _Install <br /> _Sign --"ove _Deaolish <br />PROPOSED USE: _Single F8IIily ~/F _, of Units LK/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: Se.--r-- Up Ne LA..) '77108, L..'(' ~ -€- <br />BUILDING SIZE:;( ~ x~. /Yc!~ Square Feet, Height <br />, <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 />~~ <br />~CAL <br />_PLUMBING . <br /> <br />PERKITS REOUESTED <br /> <br />$ <br />pc> 0 <br />$ <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />~~orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />7?7C'&k ~ Other <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />_Fr8lle _Steel <br /> <br />YES <br /> <br />L <br />NO <br /> <br />FINISHED FLOOR ELEVAITONS: <br /> <br />Fl' . <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />,- <br /> <br /> <br />CONTRACIOR SECTION <br /> <br />COMPANY 9:,o~' ~~)'L <br />State Cert. or Regist. , :::Dr H oooo-S::=? <br />City License Registration # <br />................................. <br /> <br />BlJJl.DER <br /> <br />Signature <br /> <br />COMPANY -=r P\.~e S> 'dYI o~~o r-' <br />State Cert. or Regist. , CZ rc...D::Joc<'I?I'_~ <br />City License Registration' 222 0 V <br />........................................*. ~ <br /> <br />PLUMBER /") COMPANY g~ ~~( ,~ <br />. () ,() J / State Cert. or Regist. # J:y::;t::""!-I- 0060 5:'';1 <br />Signature~ ~ ~ City License Registration' <br />..................................*..*.... ~ <br /> <br />~// COMPANY0~~2/i~~ <br /> <br />-//// State Cert. or Regist. ,. Cf9..-C...cj q_5~C.S <br />/ " / ,-.-,------ City License Registration # 1452 <br />::.Ai'if....................................*... 1J~.fld Jt 20~ te,:~ 1-m~:M <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />