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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />J- ;).F~ OS- <br /> <br />s~ z.^-'ves-cIU.-€)J~ lP~ <br />, <br /> <br />OWNER'S ADDRESS 375\-.5: 0~'!:i!-t&Gb <br />JOB ADDRESs3 t~a9 J--3~r,;J7~Oc;.f <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />?Kd --9 V<?ir <br />~3~~ <br /> <br />QR-~ <br /> <br />b4-AE LPtV FL <br /> <br />LN. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION a4~ P/tR-i.<- <br />PARCEL I.D.' (bc:{ -o?f..,,-c2/ - OOCfO~ OoAoO-DOAO (OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:$New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily vti/F .J--, of Units ----1t/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: (U)p.s02..<Jc-n DJJ ~ W p~ <br />BUILDING SIZE: s-z; X 41.(8': J...;l~v Square Feet, ~ Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-==-BUILDING <br /> <br />$ <br /> <br />~Dl 00l> . ~ <br /> <br />Valuation of Total Construction <br /> <br />? g<{ V <br />'? ~lt ~ J <br /> <br />PERMITS REOUESTED <br /> <br />~ELECTRICAL <br /> <br />c;2.fjb <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-:::::.JIECBANlCAL <br /> <br />$ .s 00i> . rro <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUMBIliG GAS ROOFING <br />TYPE OF CONSTRUCTION: LBlock _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />Fl.RISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY G.L. ..sTt::..-Y~ CeJJJS7.eUC7/0JJ <br />-----M-:: . LJ O~ State Cert. or Regist. , &$(3. t),;:J.;)I.39 <br />~~ City License Registration' ~O~ <br />- I . .......................................... <br /> <br />Signature <br /> <br /> <br />COMPANY (nt:JR..-1't;.) UEc.71!!.iC <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />~ COIlPAIIY (ljlR.J.S .!vh.1fZ. Iivlh i'>O) G <br />'* State Cert. or Regist. t ~ O!o.t'3 <br />t1 '..f'~ &~ City License Registration f It:, <br />. .......................................... <br /> <br />PLUMBER <br /> <br />MECHANICAL COMPANY .$A/-/e's ~eo~"-''L C;;A.5 &;f'/c-Tpc ~ <br />""7.....-- / / State Cert. or Regist. I{ . AL..- 0 V.:?? Y 3 <br />Signature ~ ~ '/ /L- - City License Registration' /7 <br />~ ......~.............................. <br /> <br />Signature ~ <br /> <br />COMPANY Gft(l v R.ero~I}..J G <br />State Cert. or Regist. , IC c oO<rb~i/ / <br />City License Registration , <br />.......................................... <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />