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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S ADDRESS <br /> <br />~(Cl~ <br />0~;;-S- <br /> <br />B/~tfL. <br />I (..,.e. S'r <br /> <br />PHONE <br /> <br />'7/5: <br /> <br />0ogs-" <br /> <br />OWNER · S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br />061 b / <br /> <br />SUBDIVISION <br />00/0' <br /> <br />PARCEL I. D.' <br /> <br /> <br />dO <br /> <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration _Repair <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />. <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />I ;l..~/~ ~ <br /> <br />, <br /> <br />78 I-(/STI/-<A- <br />I d- x..i.!L.. I~ ~ Square Feet. <br /> <br />s~. <br /> <br />BUILDING SIZE: <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COtIKERCIAL : <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 />_BUILDING <br /> <br />$ <br /> <br />.00 <br />Ibfl ~y <br /> <br />, <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IEGBANIGAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA 'I <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**************************************** <br /> <br />CONTRACTOR SECTION <br />SdAJ~ <br /> <br />JI- L () 111 ~uiJf "Z:..,; <br />70 <br /> <br />1UITT.DER <br /> <br />RT.F.Cl'RICIAN COMPANY <br />State Cert. or Regist. . <br />SianRture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />*********************.*.**.**............. <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />....***.****..*.*.**.*..**..*...........** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />