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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARntENT <br /> <br />JOB ADDRESS <br /> <br />)umfYI (if- ~ \ ( J <br />OWNER'S ADDRESS ~ Cot ) l ~ () I J fh I II <br />s } 1$ SUn? n1 er-h~ /1 <br />/7 <br />/ 2- j'Lt; J II <br />. / ' <br /> <br />L.c;,"'ltJ <br />f)/' <br /> <br />OWNER'S BAHE <br /> <br />j.Jo nuL. 5 <br /> <br />PHONE 7~g--2-2 7 SJ <br /> <br />LEGAL DESCIUPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~ UrYJ h1Jlr j,~ 1/ <br /> <br />PARCEL LD.# <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED UlSE: <br /> <br />Single Fa.ily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_Co.aercial <br /> <br />_Indust. <br /> <br />$SWi.. Pool S'creh G'nr-}LJ-:>W'fOtl1er <br /> <br />_Restaurant & Health Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLMS & (2) SETS OF BUILDING PLAHS & (1) SET ENERGY FORMS. <br />AITACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_KECHABICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Insta1.lation <br /> <br />_PLUKBIHG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSIRUCI'IOH: _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 />***t*******t****************************** <br /> <br />CONTRACTOR SECI'ION <br /> <br /> <br /> <br />BUILDER <br /> <br />? <br />COHPAHY -:.0.,) S <br />State Cert. or Regist. .e ~ L).:!J 7 d: <br />City License Registration . 2...- <br />*********************......*.*.*.....*.*** <br /> <br />COHPANY C /J ~ /) /1 ~ 6-:'Lz c f- <br /> <br />Q, ~ C- f \\ State Cert. or RegisL I E;/2' 001 "10 If 0 <br />- ~ ~ ~ City License Registration' 2. '7 k" <br />*******************.****..******.**.****.* <br /> <br />COllPARY Oi q Tn cM ~ t1j ~<j5 <br /> <br />State Cert. or RegisL i CPC 71{ 6 <br />City License Registration , ~ 3 2 <br />**.**.**~.**..*.*.*...*******.******** <br /> <br />P.I.P.CTIUCIAN <br /> <br />SiJUlature <br /> <br />PLUMBER <br /> <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**********.*..*.........***...........*.** <br /> <br />Signature <br /> <br /> <br />COKPANY <br />State CerL or Regist. . <br />City License Registration I <br />.***.***.*.*.**....*.**.*.*.*******.****.* <br />~"'-"t"r '" <br /> <br /> <br />OTHP.R . <br /> <br />- ."''... ': ' , <br />APPLICATION ~Pl<<lVED' ,BY <br />,-, '.' <br /> <br />~r.~._...~-~.~.,~~~~,. .~ .....~r'~;-~ ;;.,o--t <br /> <br />. ".1., <br /> <br />PERKlt: ~ OFFICER. <br />, I <br />i <br /> <br />'" It ~.';( \ <br /> <br />:'.~ <br /> <br />,,~... ."". ".' <br /> <br />