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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE mo..r- k '1.Jn I} a k <br />OWNER'S ADDRESS 2 fq' ~ <S 00.. k S '2:,/ v r~ <br />JOB ADDRESS 5~4 '?J ~\\ 1A{ll cJ <br /> <br />PHONE 7<6D /4-2-'8: <br />L...,d) D k~/~" 545&.'9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install <br /> <br />1Sign <br /> <br />--.Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Fallily <br />i~ercial <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: r- Y)~-k I \ <br /> <br />5X \0 \=>o\e... 'S.; 5....... <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 />ATrACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQ~ FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />,$ <br /> <br />Z 7 59 . be) <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br />'. <br /> <br />YES <br /> <br />NO <br /> <br />************.......*...................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*.*.*....*...................*............ <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />*..........*..*............**............. <br />\ <br /> <br />SiimAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />......*............*....*...**....******** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />**.*.*****..*************.**...*********** <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />li COMPANY \-l-"''^'''''-IIi>...... <S,?i""....... i.~Q,., <br />~ 0 State Cert. or Regist. f <br />J.. City License Registration # \ 72-0 <br />******.*.**..*******.****.*****.********** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />