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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER'S ~7z-f'r~ <br />OWNER 'S ADDRES~ / fi,~ L-~ ~ , <br />JOB ADDRESS ~ b C( <br />LEGAL DESCRIPTION: LOT(S) cD 9 <br />PARCEL I.D.' d if -~t, -~ /- !JO&(),.-t)O/OO ~ {;, 9 <br /> <br />;;s-1T <br />d- / ,J/h 1- 00:1.-1, <br />7e-o 9J>or <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />E~I~ <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install <br /> <br />_Sign <br /> <br />____Kove <br /> <br />____DeJlolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____KIF <br /> <br />_' of Units ____K/H <br /> <br />____C~ercial <br /> <br />_Indust. <br /> <br />____Swia. Pool ___Other <br /> <br />____Restaurant & Health DepartJllent Approval <br />DESCRIPTION OF WORK:n~ (fJ ~jpJ? ~7J7 <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 FORKS. <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 />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____FrlHle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />~w~ CONTRA,::::ECTIOR a: )~ <br /> <br /> <br />/\/0 .ffi tt) State Cert. or Regist. f 6 <br />Ovl ~./L- City License Registration . <br />**** ************************************* <br /> <br /> <br />Signature <br /> <br /> <br />/' <br /> <br />F.T.F.CTRICIAN COMPANY . C ~ <br /> <br />~i:"'-;~d/tdr{ll1 . Lct~~ ~~~\~~:';eO~e:~:~::~i:'" <br /> <br />~************************************** <br /> <br /> <br />//a..rc>( cI' W"'-;;r <P<-> COIlPAIfY A~c.l~~ <br />~ '/ I ~ - ~"""'..;J /' ) State Cert. or Regist.' /~'L l. <br />Signature ~.ff U/~4~ity License Registration' / ?..-? <br />****************************************** <br /> <br /> <br />/ <br /> <br />PLUMBER <br /> <br />t/' <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. <br />City License Registration f <br />***********~***************************** <br /> <br /> <br />~. <br /> <br />MECHANICAL <br /> <br />I <br /> <br />omRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />