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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />0liIlER' S NAHE ~ J..~ jJ '" 4/""" .J2 <br />OWNER'S ADDRFSS ..g <br />JOB ADDRESS .3 <F- }'.s-x- 1/~~ <br /> <br />PHONE <br /> <br />LEGAL DESGRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ----..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_D~lish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health DeparbDent Approval <br /> <br />DESCRIPTION OF WORK: <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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_KEGllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcrIOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIORS: <br /> <br />Fr. <br /> <br />IS PROJEcr IR FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAcrOR SECTION <br /> <br />RIJTIJ)ER COMPANY <br />~ ~ Sute Cert. or Regist. . <br />Signature City License Registration , <br />.........*************.*.*.************ <br /> <br />F.T.RGTRICIAN COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />..**.....****..****.*******....*********.* <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />**.*****.*..************.***.************* <br /> <br />KEGBANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />********..**.*******.********************* <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.*.***.*.*****.*.**.******...**.********** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />