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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />(tJkl' ZtNJ&) <br />If . 'k ,~ <br />OWNER'S NAME SK'I'llIe ClrI C!~srr,:/ CITY pF Z-J.lIUJ <br /> <br />OWNER'S ADDRESS 3 9 'ISo So u11j- I}1IIf Z - HIt IS , ,e--L <br /> <br />JOB ADDRESS 40 L/'/CJ ef}op/cei ltf <br /> <br />LEGAL DESCRIPTION: LOT(S) BLO~ SUBDIVISION <br />/ g -2/;;.5- zz. (;- e/}~(!E( 5 t::} r 6 <br />PARCEL I.,D.t-f1rPnws of 1l:'IJf!T5 1f:,-Y/- io5-jf-(Ol-fc '3 ~ !t:>7: (OBTAIN FROM PROPERTY T~ NOTICE) <br /> <br />WORK PROPOSED :_New Construction _Addition ----.ftlteration _Repair X-Install <br /> <br />PHONE 9/ 3 -7J'~-7J'.J/ <br />.3.1S ~o <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />_M/H <br />-'-Other /J7Jt/TY S~ <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swiat Pool <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: SeT -vfJ of ~-~~~ S"7DUG& S"~ (US~~ <br /> <br />BUILDING SIZE: /2- X zit. @ Square Feet.IO~3'~eight_~b~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />_ELECTRICAL <br /> <br />_MECHAliICAL <br /> <br />PERKITS REOUESTED <br /> <br />$I'~ /t/). 00 <br />vVC/ Valuation of Total Construction <br />sn6e*".e 1'~/r <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />SPECIALTY <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block XFraae _Steel <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />X <br />NO <br /> <br />FI..NISHED FLOOR ELEVAnONS: <br /> <br />BUILDER. <br /> <br />Signature <br /> <br />~=pr~ <br /> <br />PLUMBER. <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />YES <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />~& . . coitF~ 31!a t>>hP-tlc:J/?,1 p./C <br />i . . . s?'te ~ert. or Regist..f C~D'II"" <br />I C1ty L1cense Registrat1on' 2S1 <br />, ~***************************************** <br /> <br />x <br />X <br />X <br /> <br />I <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />x <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />