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<br />Y pl\ tt'i <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />____M/F <br /> <br />____' of Units _M/H <br /> <br />____<=<>-ercial <br /> <br />____Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />PERMITS REOUESTED <br /> <br />BUILDING <br />~ ELECTRICAL <br /> <br />$ <br />&60 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />v <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 <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame _Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />;>E ~ - COIlPAIIY t:!8Nd~1\ fLee--\,iC <br />State Cert. or Regist. # E. C, ObOOD3~ <br />an ~ ~ ~ 1 -City License Registration t ~'13 <br />......................................*... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />......................................*... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.*..*................*.................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />