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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />/lrJw/J/UJ vPR.J)/1P <br /> <br />~P'-:/' d72/J )1/AtlE~i.V <br />..r19 hi 1i <br /> <br />PHONE-Z! ~ - f) J IR <br /> <br />OWNER'S NAKE <br /> <br />OWNER'S ADDRESS <br /> <br />/1 ;iF, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />/ S"- ;)6-~ /- t)tJ:;p-tJ~ :JOt) -OIl!) <br />. <br /> <br />WORK PROPOSED: ~w Construction -"ddition ~teration <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />____M/F <br /> <br />____, of Units ____M/H <br /> <br />____~ercial <br /> <br />____Indust. <br /> <br />____Swia. Pool _Other <br /> <br />____Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />.s c..R E ~ /II .e.L>tJNI.- CLJ/I/ c..,eE ra;. <br /> <br />BUILDING SIZE: Iff' X //1, ..... i'.:lLJ Square Feet, 9-j-p tf ' Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT 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 />V BUILDING <br /> <br />$ <br /> <br />;;)1./9#,00 <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 />_MECHAlfiCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel <br /> <br />/Jt.IA/YI. <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 />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />~:L COKPANY /lu /1~u~, <br />, State Cert. or Regist. , CRc.O..;j>i/b/i"O <br />City License Registration . /~~ <br />*****************************************. <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />**********************************.**.**** <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />**.******.......*..***..*.**.*...**...**** <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. i <br />City License Registration , <br />**********************.*********.********* <br /> <br />HECHANICAL <br /> <br />Signature <br /> <br />OTHER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />***********....**********....*.*..**...... <br />APPLICATION l::=~~""'''1!;~;~:-.':.?''' " r z A__J--;~"-6;hcER. <br />~ <br /> <br />.~?'!:........;,'.".''''-'1'...''.~.,>>;,'.~~t'.....'.l\;,; <br />