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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKB <br /> <br />62t:. me ~ <br />27 ~ <21- IJ;~. .Y /-2. <br /> <br />PHONE p~~ - Y?.3 / . <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D.' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROtI PROPERTY T~ NOTICE) <br /> <br />WORK PROPOSED:_New Construction -^dd.ition -^lteration ---..Repair _Install <br /> <br />_Sign <br /> <br />---'love <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />_KIF <br /> <br />_' of Units -.JI/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool _Other <br /> <br />---..Restaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: ",~,f <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />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 />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---...HECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FIRISBED 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 />BUILDER <br /> <br />0. ~ARY <br />'l1tf ~ State Cert. or Regiat. . <br />~. City Liceose Registration . <br />.......................................... <br /> <br />Signature <br />I <br /> <br />RT.R.CTRTCIAR COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />tlECHABICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />