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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHB <br /> <br />\:)1:::> R. -rHi' <br /> <br />OWNER'S ADDRESS <br /> <br />~9 (~c.. <br />?>Cj l~b <br /> <br />DlL~1 <br />,/-I <br />s:: AD, <br />If/" <br /><.- <br />~~ ,LJ i/. <br /> <br />r0 <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration _Repair V--Install <br /> ____Sign . ---1Iove _Demolish <br />PROPOSED USE: ~ingle F_ily ---111 F ____, of Units ----111 H <br /> ____ec-ercial ____Indus t, ____Swim, Pool _Other <br /> <br />____Restaurant Ii: Health Department Approval <br /> <br />DESCRIPTION OF WORK: {'o 1-/ r:),#\.:::J G" c 0 '--'- I <br /> <br />;C) / C <br />I <br /> <br />c;:- 6. L.-C- P P'? t= e?0 T <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PWT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />~ <br />$ r:';2 e c> e;, - <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C, <br /> <br />- <br />~ <br /> <br />t../1tECHANIcAI. <br /> <br />$ ~2?D0 <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTRUCTION: _Block _Fr8lle _Steel <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 />CONTRACTOR SECTION. <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />......**.........***.***.*.**.....*.*..*.. <br /> <br />ELECTRICIAN COMPANY <br />State Cert, or Regist, , <br />Sian~ture City License Registration . <br />*....*......*.***.*****...***.*.****..*..* <br /> <br />PLUMBER COMPANY <br />State Cert, or Regist. . <br />Signature City License Registration , <br />*.*.....**..**..*.*.**.****.********.***** ~ <br /> <br />COMPANY C L.l>- L Fe.:::> A :5 T .II J K:-. Sl..f ~ T--t:7.A:-5 /;0 (!.- <br />State Cert. or Regist. f C A C. 0 3~ R "2..<:'::' <br />Signature City License Registration' I.. :s 8':~-- <br />..********.*************.****.**.**.*** <br /> <br /> <br />OTHER COMPANY <br />State Cert, or Regist. f <br />Signature City License Registration . <br />***...****..**.....*.**..*..*..*...*.*..*. <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER, <br />