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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRIIILLS <br />BUILDIRG DEPAR'l'KENT <br /> <br />OWNER'S <br /> <br /> <br />'00J <br />$<1- <br />v\. <br /> <br /> <br />7fJ2 <let 0 <br />'3 ~S" to <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) 0 Ito B~UBDIVISION <br />PARCEL LD.'/!- ?f::,-2l- d \110 -0 Sz~ () -01 (0 <br /> <br />~. 1'::) <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Coostruction --Addition ------Alteration ---.Jl,epair ~Atall <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~iog1e Faaily <br /> <br />------"'F _' of Units --1I/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--.Jestaurant Ii: Health Departaent Approval <br />DESCRIPTIOR OF WORK: ill1skt 1/ Z2'K' uJ;:' f:, I (" ~ (,VI L,\At'~ <:-( <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-BUILDIRG <br /> <br />$ <br /> <br />1(0. a u <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRI.CAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--'lECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBDiG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUC'l'IOR: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FDI:ISIIED FLOOR ELEVATIORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*********************************..***.... <br /> <br />BIIlIDER t~&It ~~"1011J E-vkn~N <br />State Cert. or Regist. . <br />Signature 0 City License Registration . 7 ~C <br />*..*.***...*................***........... <br /> <br />RI.RCTRICIAR COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />*........*..*............................. <br /> <br />PLDKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.*..*.*.....................*............. <br /> <br />IfECHARICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*....**..*...................*.........*.. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*.*.*..**.*..*...*.....**...**.*.......... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />