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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE \0 Vh. \-:::> \ 00 -(' <br /> <br />PHONE <br /> <br />7<;?o ?())3 <br /> <br />OWNER'S ADDRESS <br /> <br />3 '8'& 0 '2.- <br /> <br />rt ......, \., <br />\ <br /> <br />5 ~ cas,-\- <br /> <br />JOB ADDRESS <br /> <br />60 Y7\ "'- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t rD 2- L tp ~ l 6 () to () (') b '6 'ZIe:> Db 3D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-Hew Construction _Addition ----..Alteration --..Repair _Install <br /> <br />~Sign <br /> <br />---1Iove <br /> <br />-Deaolish <br /> <br />PROmSEDUSE: ___Single Faaily <br />-Lec:-ercial <br /> <br />_M/F <br /> <br />_' of Units ---1I/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />'"!:" y, :=.-k. \ , <br /> <br />\to eo \€ <br />, <br /> <br />-s '.9....... <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />AT'lACH (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 />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <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 />---1IEClWfICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIfSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECt IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTIOIf <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />RIJTJ.DER <br /> <br />F.T.RCTRICIAN <br /> <br />SianAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />PLUMBER <br /> <br />HEClWfICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />COMPANY . ~l"\ D-H LA <;.,. l+ <br />\:\ (\ f\ n State Cert. or Regist. . <br />~..l-!... (J. )o~u.:'i City License Registration , <br />****************************************** <br /> <br />.02.2.3 <br /> <br />OTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />11l:41Jtr-< <br /> <br />PERMIT OFFICER. <br />