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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME (/Q} ( 'T"C, I iJni t p <br />I <br />OWNER · S ADDRESS , 5'1t..;:y-, B-J-n ~Y- <br /> <br />JOB ADDRESS \t)"Ajn 8fh \)f <br /> <br />PHONE 7Xi cJd8Q <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.' !J - d-b - ~/ -3 'I-~ Irr - / 'j <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --^lteration -.Jtepair _Install <br /> <br />_Sign <br /> <br />--"ove _Deaolish v'~~('r <br /> <br />PROPOSED USE: eX Single Faaily <br /> <br />--"IF _' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />_Restaurant & Health Depart.ent Approval <br />DESCRIPTION OF WORK:-/} /Jr.}' fj<J r& <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTAGB (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 />AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_HEGllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Insta1lation <br /> <br />_PLtJHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE QF GONSTRUGTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION" <br /> <br />IIlllLDER ~ COIIPAIIY <br />\h \ ~~ State Cert. or Regist. . <br />Signature O...U City License Registration' <br />~ ******* ********************************** <br /> <br />RT .RCTRlGlAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Silmllture <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />tlECHANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />omRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />':11 ~ /4..J'J- <br /> <br />PERKlT OFFICER. <br />