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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPlIYRIIIU.s <br />lllJllLDIRGDEPARlmmr <br /> <br />.. OWNER t S NAME <br /> <br />David C. and Betty A. Peck <br /> <br />PlIONE ' (813)782-0098 <br /> <br />OWNER'S ADDRESS 39034 9th Ave. <br /> <br />Zephyrhills. Florida <br /> <br />JOB ADDRESS <br /> <br />5903 14th St. Zephvrhills. Florida 33541 <br /> <br />LEGAL DESCRIPI'ION: LOT(S) <br /> <br />8. 9 & 10 <br /> <br />B~SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />11-26-21-0010-03900-0100-0080 <br /> <br />WRK PROPOSED:_Nlew Construction --.J\ddit.ion _Alteration _Repair _Install <br />I <br /> <br />_Sign <br /> <br />_lMove <br /> <br />_DeJI01ish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_' of Units . <br /> <br />_M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_SwI... Pool . <br /> <br />Other <br /> <br />_Restaurant & llea1t:h Depart:llent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />AlTACH (2) PLOT PI..MiIS & (2) SEIS OF BUllDING PLANS & (1) SF:I' ENERGY FORIfS. ** <br />ATrAClI (3) SETS OF BUllDlllG PLANS & (1) SFJ ENERGY FORtIS. *t< <br />**COPr OF CONTkAcr REQUIRED. <br /> <br />PERKlTS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tota1 ConstqJction <br /> <br />RT.F.CTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fEClIAIUCAL <br /> <br />s <br /> <br />Val.uation of Hechanical. Installation <br /> <br />.....!-PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Stee1 <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PRO.JEcr IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CDlIill'RACTOR SECTION <br /> <br />BUILDER <br /> <br />CDlltPANY <br />State Cert. or Regist. I <br />Ci~ License Registration I <br />***************-************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CU!fPANY <br />State Cert. or Regist. I <br />City License Registration f <br />********~z******************************* <br /> <br />SiJmature <br /> <br />PLUHBER Ronald Moon <br />Signature ~ <br /> <br />COMPANY Challenger Pl umbi ng . <br />State Cert. or Regist~ , <br />~ City License Registration' 125 <br />***************************t<************** <br /> <br />MEWANICAI. <br /> <br />CDlltPAHY <br />State Cert. or Regist. I <br />l City License Registration # . <br />************************t<***************** <br /> <br />Signa ture <br /> <br />01'1IER <br /> <br />C02fPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />)1 a A'1~(f ~ .e./'w;'cl:. <br /> <br />PERKlT OFFICER. <br />