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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />Z87T ~fT!O <br />70fl G' ~ <br />:? tJ $0 <br /> <br />J?J~;Jl /t/}t <br /> <br />W C.//..lJ <br />rCLl-J) <br /> <br />~ f rJ fe.e <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />G/J--L L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ---ltepair _Install <br /> <br />ASign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />~ec-ercial <br /> <br />____Indus t. <br /> <br />_Swia. Pool _Other <br /> <br />~J-rA(L <br />DESCRIPTION OF WORK: <br /> <br /> <br />a.. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />BUILDING <br />ill:.ELEc:rRICAL <br /> <br />$ <br /> <br />A o' <br />Itl,,~ ~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---"ECHAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING <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 />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />~ <UlPAIIY 'U <br />~ State Cer . or Regist. . <br />City License Registration , <br />. ****************************************** <br /> <br />rlff: <br /> <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />~ City License Registration . <br />****************************************** <br /> <br />PLOIBER. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />***************************************..* <br /> <br />Signature <br /> <br />.. <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*.*****************..**.*.*..**...**...*.. <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />*****.*****.*..******....************.**** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />