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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKEJ].l@nlQu~ euJ1~ moOJ <br />OWNER' S ADDRESS .s q <1 ao 13 f1.. oe . Ce ~!L <br /> <br />PHONE <br /> <br />'1 jJ, <br /> <br />33s-yd <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 -XAddition ____Alteration ____Repair. _Install <br /> ____Sign _Hove ____Deaolish <br />PROPOSED USE: _Single Faaily _H/F _' of Units _H/H <br /> _C~ercia1 _Indust. ____SwiRl. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />SL(LfW ~,~V '- <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 />A-BUILDING <br />_ELECTRICAL <br /> <br />$ d I t-D. 6U <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECBAlfICAL <br /> <br />$. <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Fraae _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 /> <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. t <br />Si2Dature City License Registration t <br />....................**.*..*...***....****. <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.*........*.**....*..**...**........*.*... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />....*................*..........*.*....... <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.............*....................*....... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />