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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME iJbI-..J Y Kl 'At h J~ <br />OWNER'S ADDRESS ~ 15 7 i / <br /> <br />PHONE <br /> <br />A o-{ / c,( <br /> <br />JOB ADDRESS <br /> <br />,s~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.'/" 61 - D6 -oV-/~O--I <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -..Alteration _Repair _Install <br /> <br />_Sign. <br /> <br />_Kove <br /> <br />_Dellolish <br /> <br />PROPOSED USE: _Single F8Ilily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swiat Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />hUlLDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />i ':) O. [) V <br /> <br />Valuation of Total Construction <br /> <br />AMP Serv'ice <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--'lECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Blrri.DER <br />. Si_ture ~ <br /> <br />COMPANY <br />~. State Cert. or Regist. . <br />-~ City License Registration' <br />. ****************************************** <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SignAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />.. <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />OTImR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />