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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER 'S N~ y\'io Y) PHONE <br />OIlIIllR'S ADIllIESS S)~ jJo!/O,;J .1?U /c1v k :Jl <br /> <br />JOB ADDRESS ,5'f ___ <br /> <br />? g'?; - &9 J ~ <br />rifff- 71- cJ$ <br /> <br />LEGAL DESCRIP'J.'ION: LOT(S) <br /> <br />B~SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~ew Construction ~ddition ~teration <br /> <br />~epair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED~E: ~~leF~i~ <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />~/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ~x <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />~ ODVV) <br /> <br />J c. r e.tF "\ <br />R, ;2~ <br /> <br />Square Feet, <br /> <br />1/ 1/ <br />7 (J Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />CJO <br />$~7'OD~ <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CBANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block. _Fr~e _Steel <br /> <br />Other <br /> <br />FIliISBED FLOOR ELEVATIONS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />RIJTI.DER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br /> <br /> <br />F.T.F.CTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiooAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />..*.......*..***..*......*..****..***.**** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />.*.*****.*.***..***********.*.*.***.*.**** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />