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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE 5e..nm0 '~Cm.~ S <br />OWNER'S ADDRESS Y I , ~ <.:J c.. \ \ ~ \ 'J cL <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />.so rne.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />I' <br />WORK PROPOSED:_New Construction ---":'Addition --Uteration /' Repair _Install <br /> <br />_Sigtl <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK:_P e ~(T)T -PaN ~oo-t <br />BUILDING SIZE: 60 X \DO, SCXX:.J Square Feet. ~t.: 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 />PERMITS REOUESTED <br /> <br />'/BUILDING <br /> <br />$ 7100 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />-"EGHANICAL <br /> <br />AMP 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 />TYPE OF CONSTRUC'l'ION: ~Bloclt _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA'l -1L.. <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ COMPANY Wd'\d COfJs.-+ Q.vc1 Qrot~t0~ <br />.>'~ / / _ State Cert. or Regist.' 0=..",\,\ - ClC>OYSO <br />~ ~ ~ City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiDQature City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />...........~.............................. <br /> <br />OTRY.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />