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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />7l?F ;2~'-.,c,~ . ' <br />/ D -0/- Y-b <br /> <br />O1iIlER'S IiAIlI\ &.:1- 9.,j~~ ~ <br />O1iIlER'S ADDIl&SS f<i~ = Ll P-~ <br />JOB ADDRESS ibT . ~ /.. A-I:P _// ~e <br />/' / / Ph,tSe 3 1/_ <br />LEGAL DESCRIPTION: LOT(S) w/ ~SUBDIVISION :5JLveie _C:>Ar~~ <br /> <br />PARCEL LD.' 3-:;26- :;./- o/~(!) - ()C)Ooo -at/It) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />CJc:r/ -? 3~L <br /> <br />( h 907) <br /> <br />WORK PROPOSED:)( New Construction _Addition ---..Alteration ~epair _Install <br /> _Sign ---.JIove _DeJIOlish <br />PROPOSED USE: )( Single Faaily _M/F _, of Units ---.JI/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: :SJ'*'ff~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />?S;060 <br />$ ['r~ <br /> <br />PERKITS REOUESTED <br /> <br />----...ELECTRICAL <br /> <br />~ <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />4-Florida Power Corp" <br /> <br />W.R.E.C. <br /> <br />---'lECBABICAL <br /> <br />$ ~/OCJ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br />X Block <br /> <br />S~~"'''i< ROOFING <br />r <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DER COMPANY <br />~ State Cer or Regi ., <br />Signature 'fcJ~ 0.. City License Registration , <br />.. ................................... <br /> <br />RI.RCTRIClAN COMPANY ) ~ 5' I~/~r- r Cod J-h e:.. <br />0? ,,# ~ ~ State Cert. or Regist.' f3/( ~ 'Z o~S ,- <br />SiImAture.......Y" ~/ I.-A,. ~ City License Registration t :3' ~o <br />. ........................................ <br /> <br /> <br />/ <br /> <br />v <br /> <br />PLUMBER <br /> <br />COMPANY /6 ~,,~ y-T~:iA <br />IJ ! 'JJ--;/ / State Cert. or Regist.; /OJ{ r <br />l/L/ .t/-/~ City License Registration t /]'/ <br />.....................**.*...*...*.****..*. <br />COMPANY ---IJ E:C -A {c_ Co ~~. <br />State Cert. or Regist. , Lt'c:.-o3'6L4'L/1 <br />City License Registration' ~ c:;~ <br />.......**.....**.**..**......**.****.***** <br /> <br />~/ <br /> <br />Signature <br /> <br />1II!CIIAJl,J;li6L ~ ~~ <br />Signature Q "Yl-o~ <br /> <br />V"/ <br /> <br />OTRF.R <br /> <br />APPLICATION APPRO <br /> <br />.. <br />~(1NMJ <br />RV ~..,. ... <br />".. ...:IlIa <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />...***....*..*****.**** <br /> <br />Signature <br /> <br /> <br />,r-, <br />.' l <br /> <br />ACMO" ON~ 1.1f::.. <br />=---IC . <br />...~- <br />