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<br />- " # <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME L E J-. AN/) if th S H <br />OWNER' S ADDRESS S ~ 0 R JE'tl cr- E.AI t= DR <br />JOB ADDRESS $AME <br /> <br />PHONE 7~~-0 730 <br /> <br />LEGAL DESGRIPTION: LOT(S) I /7---.8 <br /> <br />BLOCK <br /> <br />SUBDIVISION S/A'r}/ A v~ frltJ,Bl..tE ci: <br /> <br />PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ---^ddition ~teration ----llepair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />_H/F _' of Units _H/B <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />~ESCRIPTION OF W : ~~ ~ef' ~~ ~ <br />. ~~~X~3~ R <br />. ILDI E~ /I/x /.J,/. J ~ :2-' Square Feet. {<I/ Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERHITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fRICAL <br /> <br />AH.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGllAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS <br /> <br />TYPE OF GONSTRUC'l'ION: _Block <br /> <br />ROOFING <br />_Fralle V'Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />/ <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />/ COBTRA:::CSY~~~ <br /> <br />/' t:eW ~State Cert. or Regist. . <br />L City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />"'.R~ ~ . COKPAllYE.7~.o,.J7J.~<<) <br />, State Cert~ or Regist. . <br />:=: L . ~ City License Registration' <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.................***.**.......*.*..*.....* <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />...*.....*......*......................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />