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<br />(/~ ~"-l-Q--' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br /> <br /> <br />PHONE ~r 0'1 -1 ~7' - s:6bl <br />J-fhJ ~1'vvL?. 1=-e 3 ti 6 -0 7 <br />u ~~I~uJ\-R-eJ <br />SUBDIVISION S~ i).-:1T11)-L ~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />~Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool Other <br /> <br />~"ft a-U- ~~'- <br /> <br />. <br /> <br />(/Y\ l4 L~~~ ~6.-L <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: w...o~ f'tJ2JvJ ?~ ~ <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />L~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECHAlfICAL <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 _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR S~ <br /> <br />BUILDER . ~~ COHPANYj)V/I11 tf-. L.tR 11- ~ <br />State Cert. or Regist.' ~ 1""' s-o b C1 3:; c:P <br />Signature City License Registration' ~.} <br />****************************************** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. t <br />Si2Dature City License Registration t <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />