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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTl1.ENT <br /> <br />OWNER'S NAl1.E Pt;IJ/tl/IJY EJ...AVe7V "R.J//pAJ PHONE 5?/3-7/s--08f9 <br />OWNER'S ADDRESS.5 z.. if ~ '[3yvA.JSw-rJ<C. Sf ;7~ rj/i"~.'///r <br />JOB ADDRESS <Sl>MC_ - <':>. ;"""/ K-0O ?JIll"? <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I.D.t fO - .t...f.-.2 (-I - 79'- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: ~Single Faaily _KIF _' of Units _K/H <br /> _eo-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCllIPTION OF WORK: f2aYJ;fJiL (/.2mlU0S(~- t;, ~--(,.,.? r?~ <br />BUILDING SIZE: /0 X 22.:.. ;12 C Square Feet, 9; Height <br /> <br />RESIDENTIAL : <br />COMl1.ERCIAL : <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 />'"'1:' <br /> <br />SSo.- <br /> <br />PERl1.ITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ <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 />---1fECBAlUCAL <br /> <br />$ <br /> <br />Va1uation of Kechanical Installation <br /> <br />_PLUl1.BING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel /1/U---"'NiJ~ <br /> <br />Other <br /> <br />,,'. ",...t <br />FDnSHED FLOOR ELEVATIONS :.L ~!. ,I FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />COIlTllACTOR SE~. .J <br />DtJilllER ~ COIIPAIIY C-c.:r7JJd <br />I . <br />~ State Cert. or Regist. , <br />Signature City License Registration , <br />***************************************** <br /> <br />ELECTRICIAN COl1.PANY <br />State Cert. or Regist. t <br />SiaqAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />l1.ECHANlCAL COl1.PANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRF.R COl1.PANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERl1.IT OFFICER, <br />