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<br />APPLICATION FOR PERKIT /< <br />CITY OF ZEPHYRHILLS V <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />JOSEPH HUMPHRIES <br /> <br />PHONE 782-0684 <br /> <br />OWNER'S ADDRESS 5612 CYPRESS STREET, ZEPHYRHILLS, FL 33540 <br /> <br />JOB ADDRESS SAME AS ABOVE <br /> <br />LEGAL DESCRIPTION: LOT(S) 0270 <br /> <br />BLOCK 0000C5UBDIVISION006B <br /> <br />PARCEL LD.' <br /> <br />12-26-21-006B-00000-0270 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ---Alteration LJepair _Install <br /> <br />_Sign <br /> <br />_.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: --!.-Sfngle Faaily <br /> <br />----1t/F _' of Units ----1t/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />---..Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />\&R.-oW <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <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 />---X,BUILDIHG <br /> <br />$ <br /> <br />6,225.00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECIlUCAL <br />~CIIAliICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />----..PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlBISHED FLOOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJEC'1' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUIIJlER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />SillllSlture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />HEGHAHIGAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br /> <br />COMPANY RYMAN CONSTRUCTION. INC (Roofinq Div) <br />State Cert. or Regist. 'RC0061648 <br />:d.cense Registration t 275 <br />* *************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />