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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />v/ <br /> <br />OWNER'S NAKE <br /> <br />ERMA WATERS PHONE 782-4278 <br />'I <br />6217 AGATE STREET, ZEPHYRHILLS, FL 33540 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />same as above <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.' 02-26-21-0020-00300-0010 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition -.Alteration --!.-Repair _Install <br /> " <br /> _Sign ----1Iove ->>eJlolish <br />PROPOSED USE: ---!Single Faaily ----111 F _, of Units _M/H <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />---.:Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />RE-ROOF <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 REOUESTEQ <br /> <br />....x.....BUILDING <br /> <br />$ 1.665.00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAIIICAL <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 />FIRlSBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRAr.TOR SECTIO~ <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />************~~***+.~~***+.****~~************ <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />2I.ImB <br /> <br />Signature <br /> <br />COMPANY RYMAN CONSTRUCTION, INC(ROOFING OIV) <br />State Cert. or Regist. f RC0061648 <br />City License Registration # 275 <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />