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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />". b 't~ <br />cYO%""-{; <br />8l3-D <br /> <br />OWNER'S NAME tEm~FalJ <br /> <br />Ii: ~6: <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS $.s0 <br /> <br />(har;CLL! <br />/ <br /> <br />'tel <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction -^ddition _Alteration _Repair ~l <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_COIIIIlercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OP WORK: Ins .-k"l \ ~l r 8' At. l\? .f'f'I <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 20:;0.('C <br /> <br />Valuation of Total Construction <br /> <br />~ICAL <br />_MECHANICAL <br /> <br />AKP Service Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />RooPING <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! <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <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 />SilmAture <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />*.*..******.*****.*..***.*.************ <br /> <br />Signature <br /> <br />" <br /> <br />COMPANY A S-r 00 It'c he.) r::. <br />State Cert. or Regist. f <br />City License Registration . <br />************************.....***.******.* <br /> <br />L <br /> <br />S'tJFYt/lt .... { <br /> <br />/ 97.J <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />*.****.**.***..******.***.*.**********..** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />