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<br />APPLICATION FOR PERKI.T <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/ /;lS - 77 <br /> <br />OWNER'S lWIE Q~ J!, ~ Chw.. In. W~ PHONE 8' I d - 17'1- '1 (J ~ / <br />OWNER'S ADDRESS 3R 7 J7 V~C-d/t<../ &~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL LD..,;J ~ de. .- ;).../ - J D- 0 - Lo "7 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />. <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK. g~, ~ ~ fk1;;( ~ ~ <br />BUILDING SIZE: X Square Feet, 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 OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKI.TS REOUESTED <br /> <br />-X.BUlLDING <br /> <br />$ <br /> <br />g- cJ7J . ,7(/ <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 />_MECHAlU.CA.L <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />'fYPE 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 COMPANY <br />/) 'v,..... ~. A " State Cert. or Regist. t <br />Signature(~' r \ ~~ City License Registration' <br />****************************************** <br /> <br />ELECTRICTAN -t)7' ~,-~)~A~a COMPANY <br />State Cert. or Regist. f <br />SiQnAture 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. t <br />Signature City License Registration . <br />**********************.******************* <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />********************************.********* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />