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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~-' 9 ~ <br />d-/l <br /> <br />OWNER'S NAME TtIofll/lS IF.' -r.~/( L <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS jpD30 f?1'h)EJUR( "'ve.. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL loD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~ew Construction _Addition ---Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Fu.ily <br /> <br />--"IF <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:(bNflPy-rr ..::YIIl8S FiJI', (l/feDO~r; ))/2/0Ln..JAf<+9J'ABt,)/fu( <br />I <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL 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 />$ /95b_OD <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 />_MECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA '1 <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUTT .BElt <br /> <br />CONTRACTOR SECTION <br /> <br />a COMPANY 7J+f/{JONSr.E'tU!77/JP OF(!t:N7/MI F/ I~ <br />- \..LJ / State Cert. or Regist. . <br />l ,rl) A' 0 -' J{].Jltl { fP Ci ty License Registration . :;J-. b <br />****************************************** <br /> <br />v- <br /> <br />Signature <br /> <br />JU.RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiDnAture 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. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />