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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHR LA~eV c- A~56MS PHONE !/3-- 7/1' !f~ <br />OWNER'S ADDRESS 6902 /1 3?3l 4U/E. <br />JOB ADDRESS'Z~~~ jl,'.(Jg~ft .~~ 13- 2-t!/~v~JJ//~ /9 <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' /;;) - ;). b - ;;2/- 00.3 0 -. 0 o.-s-{) 0 -. ~6B~AfN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~New Construction -XAddition ----Alteration --Repair _Install <br />_Sign ~ove _Deaolish <br /> <br />PROPOSED USE: ~Single Feaily <br /> <br />_KIF <br /> <br />_' of Units ---If.IH <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />O:PTION OP WORK: ~~o <br />~~.--llG SIZE: b _~~ , Square Feet. ~ /" Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIlP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGBARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUGTIOR: ____Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Sianature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />RI.RCTRlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUHBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLlCAnON APPROVED BY J1 (l"'-L~ rn =.L (j <br /> <br />PERHIT OFFICER. <br />