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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />/)I(h H~ <br />003;- //7-7s7 <br />,5'~ <br /> <br />PHONE <br /> <br />;"Jf?1- 7 J ~~- <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.0.' (!J J... - ~ ~ - :2.. ( ...... 06 &"0 ~OO/OC>-O/60(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 />DESCRIPTION OF WORK: }:/t/S7/J-LL. 1137<1'/11 ;J!cc.-,A.-:T !J,vjw/;'c +lC~ )/,iJ, uc7hc--fC <br />./ <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 />~LECTRlCAL <br />L/itECBAlUCAL <br /> <br />$. <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$. <br /> <br />;).. .5-5"0.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr88le _Steel <br /> <br />Other <br /> <br />FlNIS8ED 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 />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.**...***.***************........**..***** <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY f) c e ~ C-PJ-" Cj ;;: It-- <.. <br />IJ I. --'J< if /J ~ / /J fJ~ State Cert:. or Regist. 4( F 5 (;:, 00 00 <0 ( <br />SiQfla.ture ~ I~ ':f::J. c.~ aN'- City License Registration f (." :3 <br />*****************.****.******************* <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />.***************************************** <br />f}c ~ /Jt>-fh. '1 <br />MECHANICAL COMPANY C /?cc- <br />() ;j /OJ I.. A ..Ih'State Cert. or Regist. # J Cf'75;..5 <br />Signature ...a~ (.( 13~ P)'C-/t#"tf? PiIY~ty License Registration' '1'1- ? <br />*...**.*****.******.*******.*.***********. <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />****..********.**************.*****.****** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />