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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />Sd.30 <br /> <br />PHONE 5W '7 ~ d)-.;}-(p S- <br />r/~6,t/? <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' H-J.(P-al~Ool'D -ISt./DO-D(~D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />R~,taurant & Health Departaent Approva).. , <br />A ~'7'e~P..J.,:47f' y,' .Jou..ti~ ~aAd...?---"LC!1"s'~ .. <br />DESCRIPTION OF WORK: "PI..LJ....I'O-M..S ~ <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 /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'flUCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1fECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />SPECIALTY <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 />BUJI.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COHPAIIY ~~ ~~~/ <br /> <br />State Cert. or Regist.' LC- 00 $7 ~ <br />City License Registration' ~'J- <br />....................................... <br /> <br />Signature <br /> <br />F.T .RC'flUCIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />SianAture <br /> <br />PLUKBER <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. f <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />