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<br />) Gil-f'iL S- /&." o:J- J:-t" i <br />l_.::.-.- --"--_...__~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />, . <br />OWNERtS NAME 6etA-i-J ~ L..'lV6A 0U61-ETTt <br />OWNER t S ADDRESS --[p'J..0'6::'1 uJ0t (!).ktc s De.. <br /> <br />I. <br /> <br />PHONE 1 ~~ - '::;;) (p rt <br /> <br />JOB ADDRESS <br /> <br />4>cJ.O q SIu/8L QA--lC5. De.... <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION SILU U- otlt-IC S <br />PARCEL I. D -. ~ - a (0- d \ - Ol3.B -CXIX1) -aJ9D (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~Addition _Alteration _Repair _Install <br /> _Sign _Hove _DeJIOlish <br />PROPOSED USE: ~Single Faaily _H/F _' of Units ---.Jl/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health DepartJllent Approval <br />DESCRIPTION OF WORK: CJ:>tJ~'"f"e.VcrL(},J_..O~_CO,0~~ ~.J..oc.lL ~Pl-rlO)...J <br /> <br />r I) / X r'2. / I /Y. <br />BUILDING SIZE: e: ,~;"I ~ <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-=:::"'BUILDING <br /> <br />$ d.7.75l),oeJ <br /> <br />,.........- <br />_ELECTRICAL <br />vMECIIAHlCAL <br />~ PLUMBING <br /> <br />AttP Service <br /> <br />Valuation of Total Construction <br />t/'/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />1Z <br />1 Z;L~ ql/ <br /> <br />BUII.DER <br /> <br />COMPANY G.l, SYE'lE. COD~l, <br /><l!s~ State Cert. or Regist.' . . cec- oa.a ,;J 1 <br />City License Registration f 2> ey:;;; <br />~ **************...*......****.****.*.*.**** <br /> <br />Signature <br /> <br />F.r:::ClAR I~ COMPANY -y gJ.Wl1.!.l< lJ-> E:l.i.::-cnLLL SaW:,;! <br />~ State Cert. or Regist.' Coo;nc.,g <br />Si City License Registration f q0 <br />*************.**************************** <br /> <br />PLUMBER ~ COMPANY <br />/2 . ""~-,,/ /7 LJ /I State Cert. <br />Signature U A:-. ~ ~ .I'~ City License Registration t <br />*********************.************..**..** <br /> <br /> <br />MECHANICAL COMPANY .Lf'</H..e/~ /~ ~~ 0A.5 t..-4/'C <br />~~d State Cert. or Regist. C"'COYJ'7Y>' <br />Signature ~. .,/'::: -- City License Registration' / 7 <br />*****************.*********************.** <br /> <br />OTRRR <br /> <br />~ignature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registrati <br />************************************ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />* .~ ~":.. <br /> <br />. PERKI T OFFICER....:. <br />...-; ..."'- <br /> <br />.._~- _.~.~~ <br /> <br />_00 eM <br />......., __.....--. ,! ~t <br />