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<br />APPLICATION FOR PERKIT <br />. CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />~~ <br /> <br />s~ <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />.11 r0yX a~ <br /> <br />JOB ADDRESS -3 y 70 b <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />~.. <br />WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single Fatily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_~ercia1 <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ -2, J c7"Z7 _ crv <br />. <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RlCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAIUCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frate _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUTT.DER _ <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY "T;c/Io t:? bL t'" d- T~ ~ r)/.t 1/ <br />State Cert. or Regist. , <br />City License Registration' '::5 :A ? <br />() ****************************************** <br /> <br />~ COKPANY \J.e-~ Vl 15 --r;Z.VV'AtL..( IcA- c.. <br />L State Cert. or Regist. # <br />l~ . City License Registration , {;, rJ <br />* ********************************** <br /> <br /> <br />PLUKBER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />KECHANlCAL <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <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 />