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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'J ~/ l1;'D~ <br />JlL~f7 <br /> <br />OWNER'S NAHE-D~P Ct? If'v,O",-I'-/ c>~ .A J "LJ.. ~ ~ ~/. OOONE11 1 _ ?" 2E: e7 ? 0 ., <br />OWNER'S ADDRESS ~ ~ tl-1t-k.. ~.....,.v~y ~ -<".to ~~').h. 33 lJ L- <br />JOB ADDRESS3.. -:-; I"'> 6 E.J'J A~ ~).,;.eA. <br />CL~~ <br />LEGAL DESCRIPTION: LOT(S)_ BLOCK...-._SUBDIVISION <br /> <br />PARCEL 1. D. # 0 ~ - d... 6, -:0...1 - tf' d I " - J A..ri- 00 _ 0 <,,~ (J <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_ X' _New Construction _Addition _Alteration __Repair _Install <br />- X Sign __Move _Demolish <br /> <br />PROPOSED USE: ___S ingle Family <br />_ACoulercial <br /> <br />_M/F <br /> <br />_# of Units ____M/H <br /> <br />__Indust. <br /> <br />_Swim. <br /> <br />Po9..lJ Other <br /> <br />'Tj ~ ~ :~~ fuJl <br /> <br />_____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: c:;:- f'- ,,~\ \ u-...-~ Il S ,/'5' r-- <br />$~-",- 3"/ // rv / <br />B~ II~ SIZE: __XJ8'"~. ../ -/, ~ Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & .(1')'~h\ ENERGY FO.~' J;- .. . <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~ J tv-t . <br />PROPERTY SURVEY REQOIRED FOR ALL NEW CONSTRUCTION. _ f ~~ tb !. . <br /> <br />PERMITS REOUESTED 1V- <br /> <br />$ l I -, I/~:::' 1 1 . ) <br />./ .:;) v. Va uation of Tota Construct1on . <br /> <br />LBUILDING <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 />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />__Block <br /> <br />_Fraae <br /> <br />_Steel <br /> <br />Other <br /> <br />..- I) I <br />,b :3~t7'" <br />b~'1 (I <br />g{p?// J~l~ / <br />-- ---- 'Ul"'/ <br />YES NO '/ <br />~ <br /> <br />FINISHED FLOOR ELf:VATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />COMPANY n: X " €- S. ,/'5 r:5 d--Jr,. c . <br />State Cert. or Regis t . # &.s eH' t:' et e7 ;> '3 <br />City License Registr~.;..~n # :'>~{ 0 <br />******************************w* 0i;(J.... 7<,c;/fiB'2- 7;rlfOf<. 7 (,) <br />r;:>rP/JIlm,g,.. <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Si2Ilature <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />KECHANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />2IIIER <br /> <br />Signature _ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED8Y _ <br /> <br />PERMIT OFFICER. <br />