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<br />~~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br /> <br />O;f~ <br />!1Ji(EL v:/ Ltfr <br /> <br />PHONE <br /> <br />OWNER'S N <br /> <br />(jlf/D. <br /> <br />JOB ADDRESS <br /> <br />..J,A--Mf A-S A.6Ne <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish ~J;2.~ <br /> PRJ1(n-t dC/res sc, <br />PROPOSED USE: _Single Faaily _M/F _' of Units _M/H <br /> <br />DESCRIPTION OF WORK: <br /> <br />S.3- P I _Other)fl T LI <; f 0~ <br />_ W.u.. 00 <br />,L~./ <br />b Ivcl, <br /> <br />Pet&i!J/J ~ t (p 7 J 7 'f <br />&c/ ~-P--ty IC ~f?r s f. <br />/-..0 T rf cf"G ;{ '(I L' . <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ;.0 <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_Indust. <br /> <br />_eo..ercial <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />~f=. <br /> <br />L~,-/'- .2? J J..j S; ~ 1/ ff~1 7 Y <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP 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 />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTRICIAN COMPANY&ft1';( d rd2AA/l:J4-L L <br />'"/. tJ J /' State Cert. or Regist.' 6' <br />SismAture /T ~/;hU1. / ' (A ,;~ City License Registration' 01;Z <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />.. <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />