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<br />s <br /> <br />APPLICATION FOR. PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHB ~~ ~ V lh'2l( lAJiJ <br />OIiIIER'S ADD~S n~ 78 II ~~: ~;'1 Q_ 1o?? 0 <br />JOB ADDRESS nA ~~I _ 1-0 j .it :?9 <br />LEGAL DESCRIPTION: LOT(S) , <9 <br /> <br />PHONE (8/5) 7Es - J{,Sj- <br />(i=n fl4d) ;;~ ,;) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. I <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ----^lteration -Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Dellolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />---.J<esta1lr8llt & B~epar..ent Approval <br />DESCRIPTION OF WORK: is Y. / (). ~ fJ <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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_KECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TlPE OF CONSTRUCI'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />.ml~-) llM CONTRA=~OB <br />State Cert. or Regist. I <br />Signatur~ .j, City License Registration I <br />*******.********************************** <br /> <br />RT .RCTRICIAN COMPANY <br />State Cert. or Regist. t <br />SiROAture City License Registration I <br />****************************************** <br /> <br />PLUKaER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration f <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. t <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />