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<br />. . <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S MAKE J'v.s.s~ // L 0 (,>J ( <br />OWNER'S ADDRESS bO S- 2 ;DIFASA;V r <br />JOB ADDRESS ..5')1/ ~ E <br /> <br />PHONE 79.?- 7621 <br /> <br />LEGAL DESCRIP'1'ION: LOT(S) <br /> <br />BLOCIt.--SUBDIVISION <br /> <br />6AKS.LLJ~ <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction _Addition -...Alteration -J,lepair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----.J4/F _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-J,lestaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: I N..$ -r A/I <br /> <br />/Iff ?J I flf.A r <br />, ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />/.( S-t:J. 00 Valuation of Total Construction <br /> <br />_ELECTRICAL <br />.L,mClWllCAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLtllBING GAS ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF alRSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDfISBED FLOOR ELEVAnONS: <br /> <br />F'1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTIJ)ER <br /> <br />aiHPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CO~ANY ~ <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br /> <br />PLtJMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KECIWlICAL. COMPANY .DAIII! I,; h~ ~):I/Vl. 6;4 s e- Ilk r A/c., <br />~I /?...e./ -- State Cert. or Regisf. , CA ~c v?~ '13' <br />Signature _ P City License Registration, 7$ <br />****************************************** <br /> <br />OTIIRR CO~ANY <br />State Cert. or Regist.' <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />