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<br />.' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />'t'v\U\\-t.. 5~W-\"~ <br />'~lS2-> '3~ ~~ <br />~b\ C~ <br /> <br />PHONE <br /> <br />'7B2-- ~3, <br /> <br />OWNER · S ADDRESS <br /> <br />2J:'~ilt\\~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I,D.' .'~-2(o-2\-OO~- m~- ()\L-~ <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ~teration _Repair _Install <br /> _Sign ---1Iove _Deaolish <br />PROPOSED USE: _Single Faaily _K/F _' of Units _K/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Depart:aent Approval <br /> <br />~~- k~ <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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 2.~E.~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />X 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? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registrati <br />**************************************** <br /> <br />// <br /> <br />BITH .Dm <br /> <br /> <br />:= <br /> <br />/ <br />./ <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registrat n' <br />************************************** *** <br /> <br />/ <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registr~~~ I <br />*************************************i"** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />/ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />