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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME &PJlllh/ !-Iorz { Z 0;\/ (YI.j-f P . <br />OWNER'S ADDRESS '7 ~ if ~ c;;rzEE;J S(,j)(/C Dfl- . <br />JOB ADDRESS J'7 k> I 9 tV Ell I((::,YV\ A V E. /-1:.-" r- <br /> <br />PHONE <br /> <br />1tz-/ Dfot{ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />{So <br />SUBDIVISION c;/zt4)./p /-1-o1Z1 calli fYl-l-l. f. <br /> <br />PARCEL I.D.' Stf-2 5 - '21 - COt D - DaFoo - 0 IS-o <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: View Construction v-Addition ----..Alteration ~epair ~Install <br /> _Sign --1Iove _Deaolish <br />PROPOSED USE: ~ingle Faaily --1I/F _' of Units _M/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />r;;qfo <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESlDEBTI.AL: ATl'AGH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATl'AGH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />~RcnuGAL <br /> <br />PERMITS REQUESTED <br />$ JLf 5ocf. cf" "3 Valuation of Total Construction <br /> <br />!,vI /ZE. ~ fI~ t) <br />AMP Service Florida Power Corp. W.R.E.C. <br /> <br />_HEGllAlU.CAI. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUGTIOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDfISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECt' IN FLOOD ZORE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CORTRACt'OR SECTION <br /> <br />BIIlT.DER COKPANY_13~ t-I CCIV'7l/hL- (jO/v cF C3IvnZAc t=L, <br /> <br />Signature 0 AI. /1 (I J) State Cert. or Regist. , C(]~ 0 511~L <br />~ -- ~ City License Registration' ;Z~ <br />.......................................... <br /> <br />RT.RGTRlCIAN <br /> <br />COMPANY kIf EL-Ec T/U '- <br />d I II, n /' ~) State Cert. or Regist. . <br />r) . - !:1. ~~ City License Registration , <br />.......................................... <br /> <br />J.?7 <br /> <br />SiRnAture <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />HECBARlGAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />