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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />/u z:r:j>~ ~ ~7>? .#z?~~ <br />hc~~oocO Oz...../-/ <br /> <br />~C- <br /> <br />PHONE <br /> <br />7p" /OJV <br /> <br />OWNER'S ADDRESS ~ 7 ,?w <br />.f~c <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~ew Construction _Addition _Alteration <br /> <br />_Repair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_, of Units _HID <br />V'Other f~a-n ~('1C- <br />_Swim. Pool ~ <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />S~J~ ~L <br /> <br />~G <br /> <br />BUILDING SIZE: <br /> <br />//J. 6D <br />~ X . <br /> <br />~ J 1/ <br />:;r-. Square Feet, /0 )- 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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING <br /> <br />$ <br /> <br />6 <br />rF cfJZ) ~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_MECHANICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />;.::~ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~4/ ~~I <br />State Cert. or Regist. , /l..,k 0 oJ ;"J..f?/ <br />City License Registration' /6~ <br />****************************************** <br /> <br />/' <br />F.l.F.CTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SiDflllture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />***********~****************************** <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />