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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />i -3 - lr <br /> <br />OWNER' S N~ ~C.H A l'--D <br />OWNER'S ADDRESS 3 ~ 0.3 q <br />JOB ADDRESS S.A-M e- <br />LEGAL DESCRIPTION: LOT(S) ~) 7} 7 g BLOCK/~q SUBDIVISION C JTy <br />PARCEL LD.' / J - :l-~ -.1./- OOJO <~ lS-qoo....OO~tJ(OBTAIN FROM PROPERTY TAX NOTICE) <br />. <br /> <br />'I kl'nt'l I-!';N.ydbQ/ fill> PAeK~' 1@8--7(.74 <br /> <br />S'rH Au e- Z6PH-'tJ<.H lLLS, ~ 33.(' <br /> <br />WORK PROPOSED:____New Construction ---Addition ---Alteration ----Repair -A-Install <br /> ____Sign --Kove ____Deaolish <br />PROPOSED USE: _Single Feaily --KIF ____' of Units --K/H <br /> ____eo..ercial _Indust. _Swim. Pool ~Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: CA 1< PO g,', <br />BUILDING SIZE: J 0 X W, ::L 00 <br /> <br />','1 p E:. <br /> <br />ROOF <br /> <br />, <br />Square Feet, f3.- 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 />PERMITS REOUESTED <br /> <br />bUILDING <br /> <br />$ 200.- <br /> <br />Valuation of Total Construction <br /> <br />---..ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />-1lECllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />--YLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Freae ____Steel A Lv IV) ''''I) tv') Other <br /> <br />FIRISHED 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 />BUILDER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.......................................... <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. I <br />SiRnAture City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />.Q.'ID.BR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />