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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAHE--1)P ~CJ c_ Le <br />OWNER t S ADDRESS E J.5 3 <br />JOB ADDRESS . So.. ~ ~ <br />LEGAL DESCRIPTION: LOT(S) nO :10 BLOCK JS7d7) SUBDIVISION on /6 <br />PARCEL LD.' J.J 2y, ;1../ {fj /6 157CKJ on dO (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />It h \:hCJ"\ Y ~ ~ n Y\ M PHONE <br />L.J~ .51 Zr p ~~ r- b.JJ ~ 3 35 "-II <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install <br /> _Sign --..-JIove _DeIIOlish <br />PROPOSED USE: ~Single Faaily ~/F _' of Units _M/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />---- <br />DESCRIPTION OF WORK: /-cnc. ~ <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 />VBUlLDING <br /> <br />$ <br /> <br />~oo. -- <br /> <br />PERMITS REOUESTED <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 />_HECllAlllCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRACIOR SECTION <br /> <br />BUlI.DER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />F.T.RCTRICIAR COMPANY <br />State Cert. or Regist. , <br />SionAture City License Registration t <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.......................................... <br /> <br />HEGHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.......................................... <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />