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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,1 <br />d~J' <br /> <br />OWNER'S NAME :r <9 r.: C 0 (2../2... E I J4 <br />OWNER'S ADDRESS "5 7 7 0 ~ fill'! f)D j) (2 , <br />JOB ADDRESS 5rrll1/~ tf 5 A-tt. ~ V/~ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />5 - 2- & - ~ J- I 3 - 0 - ~ 1 <br />WORK PROPOSED: ~Construction _Addition _Alteration <br /> <br />PARCEL 1.D.# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />_Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~le Faaily <br /> <br />_M/F <br /> <br />_, of Units -LM/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />c/tfl f)()/tr c:; vrl-(l <br /> <br />, <br />'7 <br /> <br />If-ttlf} 1200 r <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 OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <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 _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 />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 8~ H CD,.JSrIW0nOrJ <br />~ &. k State Cert. or Regist. , CfJco <br />j 'I . City License Registration # <br />****************************************** <br /> <br />OF COJ IflAl-- F L- ~ <br />577 t52- V- <br />..2(.,. <br /> <br />Signature <br /> <br />F.T.F.CTRICIAB <br /> <br />COMPANY <br />State Cert. or Regist. t <br />. City License Registration t <br />****************************************** <br /> <br />SiRllature <br /> <br />PLUMBER <br /> <br />/ <br />---/ <br />----- <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />************~***************************** <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />