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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDIRG DEPARTHENT <br /> <br />OWNER'S NAttE r:!4/ ,R /Yl.4.5 0" PHONE /g-~ c:/oltf <br />OWNER'S ADDRESS 'S7~-s/ I ,:? +4 5T ?r:;oIiyrh/l/s <br />JOB ADDRESS !)/ J L/ 12 r"h 57 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration ---Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />------"IF _' of Units ---1I/H <br /> <br />_ec-ercial <br /> <br />_Indust. _swia. Pool _Other <br /> <br />---Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ::::rJ"\S71fl-L <br /> <br />tNll\\S (2o<R. e:..r//.?or+ (ErVC{oSE \ <br />. <br /> <br />BUILDING SIZE: ~ I:; X /2. , 3 12 Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLARS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />LBUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'lUCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----..KECHARICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED 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 />BITIUlER <br /> <br />~/~ <br /> <br />cotIPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br />j <br /> <br />RT.RCTRlCIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SignAture <br /> <br />PLUKBER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................*****.....*..*..... <br /> <br />Signature <br /> <br />KECHARICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.*.........*...*.............*.....*..*.*. <br /> <br />Signature <br /> <br />omRR <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.....*.*.**.*********.**.**.***.*....*...* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER, <br />