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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />kS\I€- ?CAAJ\ <br />59[0 \\i~ <br />~Me as ~Ve <br />LEGAL DESCRIPTION: LOT(S)~BLOCK:J.:;;A. <br />PARCEL I.D..~~-J.l-oOIO-021.ro-O'~D <br /> <br />OWNER · S NAKE <br /> <br />tl\ t\ l<. <br />-S+. <br /> <br />PHONE QSI ~ 19l- O,3s- <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: vi New Construc~ion ~Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Family <br /> <br />____K/F <br /> <br />____' of Units ____M/H <br /> <br />____eo..ercial <br /> <br />____Indus t. <br /> <br />____SwiRl. Pool _Other <br /> <br />____Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: Add\C\5 Ci\\.o ~r^+ ^",rrl. <br />! / ~ <br />BUILDING SIZE: ~ 1/' x.1, <br /> <br />(\~\ <br />I <br /> <br />\ot:>~ . <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 />~BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLtJKBING GAS <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />ROOFING <br />~raae ____Steel <br /> <br />Other <br /> <br />SPECIALTY <br /> <br />FIIIISHED FLOOR ELEVATIONS: FT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />.*.*.*******.**.....**********....******** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />***.************************************** <br /> <br />ELECTRICIAR COMPANY <br />State Cert. or Regist. f <br />SiDnAture City License Registration . <br />***..*****.*.****.**.*..***.**......***... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />*.**.*..***********..******.*************. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />*.**************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />**.*****************.******..************* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />