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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME .--j eMr( It- ' f1\~l(__ <br />OWNER'S ADDRESS 53Zl ~M- ()- - <br />a., ~ ~).U.. S~ (Y'J <br />(~ <br /> <br />PHONE-=:] 83 - 3 "i 9 0 <br /> <br />JOB ADDRESS <br /> <br />PARCEL 1. D.' <br /> <br /> <br />BLO'"" Lt SUBDIVISION ~ J.., ',- <br />"~ I ' <br />0<0 <br /> <br />I~r <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair <br /> _Sign _Kove _Deao1ish <br />PROPOSED USE: V:ngle Faaily _KIF _' of Units _K/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br /> <br />_Restaurant & Health Department <br /> <br />Approval <br /> <br />SW a(GdlWm'~~),____) <br /> <br />f '"rr. <br />Square Feet. ~/S Height <br /> <br />DESCRIPTION OF WORK: \ ~ 5 iq \ \ to )C 1'Z... ,~ <br />BUILDING SIZE: lOx (J . flu <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 />~LDIRG <br /> <br />PERMITS REOUESTED <br /> <br />$ 3 CY() _c9() <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fralle _Steel <br /> <br />. <br /> <br />ALvvr. '(\V~ Other <br /> <br />/ <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />IA- COMPANY <br />State Cert. or Regist. , <br />~. City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />=~ <br /> <br />tlA <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />/VA <br /> <br /> <br />, <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />/VA <br /> <br />! <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />************~***************************** <br /> <br />MEGBANICAL <br /> <br />- --1/ <br />Signature .V <br /> <br />it <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />