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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER t S NAME <br /> <br />~CA-J DQh I e,{ l) <br /> <br />PHONE <br /> <br />-17~ ? / <br />JJ oZ c2b/io <br /> <br />OWNER t S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />33526 <br /> <br />:J..!1l fJve. .< / ~,' 11 s + I (A . <br /> <br />:33~YO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />//- ~/.,-~ I <br />PARCEL I.D.' OOliJ.~ ICJe. OD - 0/:50 <br /> <br />BI.OCIt--SUBDIVISION <br /> <br />(OBTAIN FROK PROPERTY 'rAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---..Alteration -..Repair ~Insta1l <br /> <br />_Sign <br /> <br />---.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S~leF~ily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />-lNsfCl.ll c~~).'\ L.'\~ Pe..V1C~ <br /> <br />I / J J ' , <br />~ H'C~" <br />I <br />0' <br /> <br />BUlLDUIG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <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 />_BUILDING <br /> <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIECIIAIi1CAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTRUcnOIl: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDIISBED FLOOR ELEVATIOIIS: <br /> <br />FT. <br /> <br />IS PROJEct III FLOOD ZOIlE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />COIITRActOR SEctIOII <br /> <br />BUTT.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />F.1.RC'l'RICIAII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SignAture <br /> <br />PLlDlBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY /lc /71e- f:ence. <br />State Cert. or Regist.' ~ 190 <br />City License Registration , <br />.......................................... <br /> <br />OTRF.R <br /> <br />APPLICATIOII APPROVED BY <br /> <br />PERKIT OFFICER. <br />