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<br />~0\ .. \ <br />OWNER' S NAHB J CI ~\ \ (' K- <br />OWNER'S ADDRESS C' f \ ~ 0.. <br />. <br /> <br />JOB ADDRESS _l\' ~(f) <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(~ \' ~ ~ c, 1'\'\ <br />Gr C\ ~~ W1..-- <br /> <br />PHONE / Fi 3, DJ fa ~ [J <br /> <br />LfIJ1\. ST <br /> <br />7 1-11'/ h <br /> <br />, (( <br /> <br />LEGAL DESGRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---Alteration -Jepair ....,AInstall <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />----.J4/ F <br /> <br />_' of Units ----.J4/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />-Jestaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: F-F'r\C (J I Y\ '\u I'C{ ~ <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 />PERHIlS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlO.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUClION: _Block _Frue _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 SECTI;ON' <br /> <br />BlJIl.DER GOtIPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RI.RGTRICIAR COMPANY <br />State Cert. or Regist. . <br />SiRnature City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />omRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />