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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILlS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAIIE 8,..,~ <br />OWRER. 'S ADDItESS <br />3 ry I 2..5" CtJ 1/ 1ilJ5 1J.A; L <br /> <br />LEGAL DESCRI.P'l'ION: LOT(S) liJ I I- to 2- <br /> <br />V.~tl j -~ /JOM~ +- !.J~JA WAALs \./ <br />~ l/ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />BLOCIL--SUBDIVISION 3raph4/.! G-L/SV A to S,"tViFtl OAK.J <br /> <br />PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction -Jddition --Alteration ---Jlepair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: Y{ingle Faaily <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />---lI/F <br /> <br />, of Units <br />~ia. Pool <br /> <br />---lI/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Other <br /> <br />---Jlestaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTIOR OF 1iOIlJ[: ~'J It<J /(M. J & a- (011/ CI!.I/ G ,)"'.;.. ..,:., fi, L <br />.: I D~ <br />BUILDING SIZE: ! f" X 3 ~, tI:2 2.. Square Feet,~t <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDING <br />1/ ELECTRICAL <br />-"EClWllCAL <br /> <br />$ <br /> <br />PERKITS REOUESTED <br />1 ~ ) b '1!~ Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />VPLUKBIN'G GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAUOBS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />.............*.*.***.********************* <br /> <br />CONTRACTOR SECTION <br /> <br />R.IT' .DO <br /> <br />COMPANY <br /> <br /> <br />r. ~ <br /> <br />Signature <br /> <br /> <br />v <br /> <br />PLOIIQER. <br /> <br /> <br />COMPANY <br />r ~ State Cert. Regist.' <br />~ ~ Nlr- <br />City License Registration f <br />****************************************** <br /> <br />-../ <br /> <br />Signature <br /> <br />tlEClWllCAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************.************* <br /> <br />Signature <br /> <br />{;( <br />W <br /> <br />OTHRR Q <br />Signature t~.CI~ aY< <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br /> <br />APPLICAUON APPROVED BY <br /> <br />PERKIT OFFICER. <br />