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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S - Do,./. k;Ni~t <br />OWNER'S ADDRESS 0- Y J.. 7- I~ <br />. <br /> <br />PHONE <br /> <br />7c.tc9- 380;1., <br /> <br />\; -r- . <br />!, j, Cf <br /> <br />JOB ADDRESS S,4 ..-1'1 ~ <br />, .' \ <br />LEGAL DESCIUPTION: LOT(S) 0/'1 )'1 - ObnLOCK' , SUBDIVISION <br /> <br />PARCEL I.D.' 1/ - ;'b - J../ - 001 ()... / if 800 -00.3 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ~lteration _Repair _Install <br /> <br />_Sign <br /> <br />---..Kove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---..KIF _, of Units ---..K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swi.. Pool _Other <br /> <br />~estaurant &: Health Depart.ent Approval <br />DESCRIPTION OF WORK: C LoS {~y _ / ~ ... j> 4A. T. a r <br />, <br /> <br />S Toll ~ 7 l <br />CA-A- -I'o~. 'T: <br /> <br />BUILDING SIZE: I Lf x I 0 , <br /> <br />Square Feet, I t..-J 0 Height <br />. <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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEGTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAtUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />Woo" <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BUILDER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />KECBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />I1d''''''(t m ~ PE1lII1T OFFICER. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br />