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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,./) <br />~,/ <br /> <br />OWNER'S NAME t,/ ( .(.., fJ ( <br /> <br />5' /)C'- 0 <br /> <br />PHONE <br /> <br />? /;{.- ,Y'{)9tJ <br /> <br />OWNER'S ADDRESS 1/ <br />JOB ADDRESSv/ 5:85'5 11J/ 5'1- <br />LEGAL DESCRIPTION: LOT(S) 1/' 7);" CJ BLOCK I L.( SUBDIVISION <br />/ rJ <br />PARCEL LD.' V' / I ..,. ~ --;)../ - 001 tJ a 0 I rOO ... b 0 YiJ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~New Construction _Addition _Alteration --3epair _Install <br /> <br />_Sign <br /> <br />---.-JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S ingle Fallily <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: en (~\\..lz'-....J (~"'\. 4 Co- f:" t) CY f' t <br /> <br />BUILDING SIZE: [ ~ <br /> <br />x 2. C{ , <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 FORKS. <br />ATtACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~LDING <br /> <br />PERKITS REOUESTED <br /> <br />$,/ <br /> <br />I e-( 00 <br /> <br />r <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECIIAIflCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES NO <br /> <br />.................................********. <br /> <br />CONTRACTOR SECTION <br /> <br />BmlDllR :# h COKPAIIY C(/...",f,..,.QtM) <br />/ '..-, State Cert. or Regist. , <br />Signature .' City License Registration' <br />.*...............................*........ <br /> <br />RT.RGTRICIAN COMPANY <br />State Cert. or Regist. , <br />SionAture City License Registration t <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. . <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 PERMIT OFFICER. <br />