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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />rpT!.F'rL-ff j.1J.<1f <br />~.--gl:< <br /> <br />OWNER · S NAKE <br /> <br />Sn-i.K, C~~.fI..... (tJ C-ov,<- <br />7 f) 2- s- ~-r J- ~Ii..j J(J, 24'J"~~L,t () I FI" :1 3 ~Lf, <br />B{e....~I'~ Ot/~ 2t'~t..1t{, tllJ / (&/I-I 13 fl.( I <br />SUBDIVISION S'/l vut, 04- It 1 <br /> <br />PHONE <br /> <br />'1 to 9J - , 2 ~I <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL LD.# <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:X-New Construction _Addition _Alteration _Repair _Install <br /> _Sign ----"ove _Deaolish <br />PROPOSED USE: _Single Faaily ~/F z.. I of Uni ts _H/H <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: h 1 <br /> <br />" L S'. U-<-'- s". .L- <br />X 7 ..2 9. Square Feet. <br /> <br />}f' <br /> <br />P/-4--< Ll.- <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />KBUILDING <br />XELEGTRICAL <br />~GHAlUCAL <br />-LPLUMBING . <br /> <br />PERKITS REOUESTED <br />D 0 0 - L! ~ .1-"' <br />$ -, 0; 0 .(,,~ Valuation of Total Construction <br />. <br /> <br />bOD AKP Service X Florida Power Corp. <br />~ Z'.. .- ..v-t"'-1..L <br />$ (p/)O Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />GAS <br /> <br />-X. ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -k;.Bloclt _Fraae _Steel Other <br />FIRISHED FLOOR ELEVATIONS: <'b I f FT. IS PROJEC'l' IN FLOOD ZONE AREA? X <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIITlDER kc- COMPANY <br />State Cert. or Regist. # <br />Signature. City License Registration # <br />~ ****************************************** <br /> <br />GONTRAC'l'OR SECTION <br />g,ll /le, 6...~~ :r~. <br />fl c.. 0 <br />2.. <br /> <br /> <br />/ <br /> <br />ELECTRICIAN <br />Si.....t,yre)< R ~<... <br /> <br />COMPANY ~..... E/~d'~,L <br />o .~ State Cert. or Regist. , E <br />L ~ City License Registration' <br />****************************************** <br /> <br /> <br />Signature <br /> <br />~T;:>~ 1'// IJ i I2p COMPANY B~ II~J ~t~ <br />~-f ~~e l./V' /.. State Cert. or Regist. # C <br />City License Registration , <br />***** *********************************** <br /> <br />COMPANY 5tJjltH..',} /AS(J)vJw/ <br />State Cert. or Regist. # <br />City License Registration , <br />********************************* <br /> <br /> <br />~ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />>L <br /> <br /> <br /> <br />~. <br /> <br />MECHANICAL <br /> <br />OTHRR COMPANY A- - J /ZwA <br />State Cert. or Regist.' Il. ~ 01) b i ~ ~ <br />Signature City License Registration' 8a <br />****************************************** <br /> <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />