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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />a~ Itls3-~. <br /> <br />OWNER'S NAME H4K \Y\\-e.\'..---,h+~ ~ PHONE ,?j3-7~.~-d-d../G <br />OWNER'S ADDRESS 3~ ~ G;7 ~L0 i ~Lf W l -c'+- <br />JOB ADDRESS 37CeLj-S-~aAD \),. Lo, Loj <br />LEGAL DESCRIPTION: LOT(S) /J1v 1 () BLOCKD()nOCSUBDIVISION Ze> f Ay ~~H, 'n 91:- <br />PARCEL I.D.' .3-;)& -;).1 - OJ ~o - DoO()() - 6(07 b (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSEDLNew Construction _Addition --...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant Ii Health Departaent Approval <br />DESCRIPTION OF WORK: ('oN <br /> <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 Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />PERKITS REOUESTED <br /> <br />$~;)(~i 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Hechanical 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? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />4;. &t. <br /> <br />CONTRACTOR SECTION <br /> <br />COHPANYB+/I 11'7 f?5o /-.1/Z(r(lC=iJ lE/V/ / IV G . <br />State Cert. or Regis . . <br />City License Registration' c){.... <br />****************************************** <br /> <br />BlJII.DER <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <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 />OTHRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />