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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />>- - " <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />" <br />i <br /> <br />(OBTAIN FROM PROPERTY TAX NOTI~E) <br /> <br />" . -/i," ,j <br />---.-.Repair -1..-Install <br /> <br />WORK PROPOSED:_New Construction --"ddition ----..Alteration <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />->>eJlolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _KID <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ~Other <br /> <br />---.-.Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />X II , <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <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 FORKS. <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'I'RI.CAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Ins tallation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae .JL,Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fl' . <br /> <br />IS PROJECT IN FLOOD ZONE AREAT ~ <br />YES NO <br /> <br />............****.***......**.***..*.****** <br /> <br />CONTRACTOR SECTION" <br /> <br />DUll.Ilg COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*******************************.********** <br /> <br />ELECTRICIAN COKPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />****************************************** <br /> <br />PLUMBER COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*********.******************************** <br /> <br />MECHANICAL COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />**.*************************************** <br /> <br />APPLICATION APPROVED DY PERKIT OFFICER. <br />