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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHlLlS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME MARTHA KAPETAN <br /> <br />PHONE 78 8 -1 6 31 <br /> <br />OWNER'S ADDRESS 4715 Larch ZEPHYRHILLS, FL. <br /> <br />JOB ADDRESS Same <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' 15-26-21-0160-00000-0080 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction -Addition ---Alteration -X-Repair _Install <br /> <br />_Sign <br /> <br />--..Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S~eF~ily <br /> <br />--..M/F _, of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />~estaurant & Health Department 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 />A'lTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />A'lTAGB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ??nn nn <br /> <br />Valuation of Total Construction <br /> <br />_ELEcnuCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEC8AIU.CAL <br /> <br />$ <br /> <br />Valuation 'of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br />TYPE OF CONSTRUCTION: -Block _Fr~e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />ELEC'I'RICIAH <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Si2llature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration * <br />****************************************** <br /> <br />Signature <br /> <br />2IUR ~. COMPANY RYMAN C.ONS'T'RITC.'T'TON TNC. (ROOFTNr, <br />, ~ State Cert. or aogist. # RC0061648 <br />Signature. City License Registration it S R <br />****************************************** <br /> <br />DIV. ) <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />