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<br />.: <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE a~.LL- :;z~ <br />OWNER t S ADDRESS. 5" ~ 5' 3 /2 TIt. d <br />r <br /> <br />JOB ADDRESS 5~.5"? / L fir d- <br />, <br /> <br />PHONE <br /> <br />7~tik <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Uteration _Repair _Install <br /> <br /> _SigQ _Move _Deaolish <br />PROPOSED USE: V;;:gle Faaily _M/F _, of Units _M/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTIOR OF 1iOJU(. 1/ bJ -:JI d ~ _ <br />BUILDING SIZE: X Square Feet. 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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />---"EGHANICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUlI.DER <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />........................~~ <br /> <br />RT.RGTRIGlAN ~ COMPANY <br />~~ ~ State Cert. or Regist. . <br />SiJmAture City License Registration' ;Z ~ 7 <br />~ .......................................... <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />........................;;;g............. . <br /> <br />. COMPANY .~~ <br />~ State Cer . or Regist. . <br />City License Registration , 2. ~K <br />***********~****************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />MECHANICAL 0' <br /> <br />Sipature (~ <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />