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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OliIIER'S NAIU\ J-.-e t pn~ I J.f €6::) e d NMCJ.1 -re eei PHONE 11/?, - 18 ~ - /l1P1:J, <br />OWNER'S ADDRESS S '8 s cj / & 1.4- (:r+- I ..1 ~ Y KJJ ,I Ls F1 ~ 83 S-rd-. <br />JOB ADDRESS '-~ 6../YYI G <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D. # II - d-.Lo -ell - 0 ()/ () - 0 (j 9 {)D - 0 1iJ? 0 (OBTAIN FROK PROPERTY TAX NOTICE) <br />. <br /> <br />WORK PROPOSED:_New Construction _Addition LAlteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single FaallY <br /> <br />_KIF <br /> <br />_' of Units _KID <br /> <br />_Co8Bercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />Restaurant & Health Departaent Approval , <br />DESCRIPTION OF WORK, B Q.pJ.~ ~~ ~ <br />BUILDING SIZE: X Square Feet, 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 />XBUILDING <br /> <br />$ <br /> <br />:3 S to q I 00 <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />Fl.RlSBED 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 />BlllLllER ~ COIlPANY LI\ \..., \r . AI Uc1Y1 in( u.m 1J roJ.,,-d~ <br />~- State Cert. or Regist. # ~ ts~ c:o /<1-& 7 <br />Signature - City License Registration # t 170 <br />I *.**......*****.******.**......*******.**. <br /> <br />F.T .RCTRIClAN COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration , <br />.*..***.*.**************...**.*******.**** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />*.......*.*.*******.********..************ <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.*.....*..*..******.****.....*.**********. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />.*...***..******.********..****.********** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />