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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />lo-Ili--YY <br />/ . <br /> <br />/ () I' J. -0 A- t1 <br /> <br />OWNER'S NAKE f?~~ ~;~ ~~ PHONE '78~,- 7~S-3 <br /> <br />OWRER'S AD~ ~ ~ /~ ~ / ~ <br />JOB ADDRESS t,L/-/ . (j .. 7, r,.J:; ~ ~ ~ <br /> <br />LEGAL DESCRIPTION: WT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' ;) - ;2 t. - ~J - -5.,-- cJ <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ----"Iteration _Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />---111 F <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~estaurant & Health Depart.ent Approval <br />DESCRIPTION OF WORK: CO/'t--/ ~ /0 )t 3 C> <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 /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fR1CAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Freae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER --tf ~4~ <br />Signature V';. <br /> <br />. . lil/lITRACTOR SECTIOU.. ' . / <br /> <br />v~.~~ COMPANY 1Af)1.J/)'/ <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />SiQQAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />........................***...***..*...... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />..................*..*.......*.....*...... <br /> <br />Signature <br /> <br />OTHER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br /> <br />APPLICATION APP80YED BY ~:::':;;"j;;:::~""""""""" PERKlT OFFICER. <br />