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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE 7,(; ~ h / by".... ,j/I/ ~ b .fA.. t---' <br />OWNER'S ADDRESS i,f 7)...Y I/tA /~ UYI ~ /~ <br /> <br />PHONE .t-} 1- ?;-,I- c- 1... 2-- 'f <br /> <br />JOB ADDRESS .J,f 7 ;L Y <br /> <br />(/ 1'-( /.. 0/ V? C- I v- <br /> <br />.2- c:- A ~ ~ . ~ I )1 r ;-:= / 14 .7 .J J-y. 6 <br /> <br />.;2. e- ;' ~ <-? _ h. I / r Ie 11'9- 3J r'r ('j <br /> <br />LEGAL DESCRIPTION: LOT(S) ~ <br />~.2 - ;z. c: -2- 1- cJ d I ~ - <br />PARCEL I.D.t ~ ? ~'A- + .-:-::l ,,-;-1:3 <br />.- <br /> <br />SUBDIVISION C/ I I / J1. if " <br />, <br />~t:>dC1(J - c?OfO <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />BLOCK <br /> <br />c~_ b--- ~ - <br /> <br />WORK PROPOSED:_New Construction _Addition --^lteration ~Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DelIO I ish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units ..l::::::Jt/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: / /y' J /' n-/ I .fY' ~ ~ /? 4' " r- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <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 BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQWBED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS 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 />_MECHAIflCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br />$r <br />I r 4 ~ ROOFING SPECIALTY <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae ~teel <br /> <br />At..l(i'VI <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />NO <br /> <br />---*************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />.t:; p If <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. t <br />SianAture City License Registration t <br />****************************************** <br />, <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />*******-********************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />*************************-**************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />******-*********************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />