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<br />. ' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />--;; // --:;>' <br />ra,w F7~'~- <br /> <br />PHONE (8 (3) 7? 2, ~ () /y Z L- <br />;t;:t t:P< ? I <br /> <br />OWNER'S IWIE M c::;ty){ ~ Ve Ya !\e r ~1..rt.. W' <br />OIIIIEIl.'S ADDIlBSS j 9' 7 tJ ;; ,V C~~ / A"cf. <br />JOB ADDRESS JY~~--e-P <br /> <br />LEGAL DESCRIPI'ION: LOT(S) <br /> <br />PARCEL 1. D. f <br /> <br />WORK PROPOSED:_New Construction Pcklition ----1U.teration ~pair _Install <br /> <br />_Sign <br /> <br />--Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--H/F <br /> <br />_, of Units _K/B <br /> <br />Swia. Pool Other <br />- 1-1;/'/ I ~'~~ <br />_Restaurant &: Health Departaent Approval _A--!!'~ I" inn" "'/1; I r <br />(, (J l:A /~. /,7,~:r /1. d tn <br />DESCRIPTION OF NORK: ~~V\P,/X:/ ./Z"t.~ 0.. ~ _,_ <br /> <br />BUlLDIRG SIZE: >( /f X / J If <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />Square Feet. <br /> <br />Beight <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 BUlLDIRG PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />-----BUlLDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />----"ECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUHBIRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIJSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FIlJISBED FLOOR ELEVAfiOIJS: <br /> <br />FT. <br /> <br />IS PROJEct IR FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRActOR SECTION <br /> <br />Signature <br /> <br />'t.J.Ava~ <br />- <br /> <br />COKPANY <br />~ State Cert. or Regist. f <br />}~..M'-4.! City License Registration f <br />..................................*.**.*.. <br /> <br />BIJTTJlER, <br /> <br />RI.RCTRICIAN COKPARY <br />State Cert. or Regist. f <br />SianAture City License Registration f <br />.....*.*.....*...*...............*.*...... <br /> <br />PLUMBER COKPARY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />...................................*...... <br /> <br />IlECBANlCAL COKPARY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />...............*.....................*.*.. <br /> <br />OTRRR COKPARY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.................*........................ <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />