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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER 0 S NAIlIl h /1 61" ;J /I .., <f if r;. /. / J>J t' /, iI"c1 PHONE '7 ! J '7 ~ /.;Z <br />OWNER' S ADDRESS' cf~ 10 /912. I 5:/) ce ~ -2 '/7'.,/rf <br />~'/nL <br /> <br />\?cJ.>Yd <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ,..5c ~ /J !1,kr4Jn.oCR <br />/11!A-rl'fl'd <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />I rC~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition -Alteration ____Repair ~Install <br /> ____Sign _Move ____Demolish <br />PROPOSED USE: _Single Family ____M/F ____' of Units _M/H <br /> ____COIIlmercial ____Indust. _Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: ';:A.- t> Fh J/ <br />BUILDING SIZE: / .:;.. X;;) A/ , d y J> <br />, <br /> <br />leY Y..J Y <br />, <br /> <br />, f;J/l fh;", <br />/ <br /> <br />()/ ~:l <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 />____BUILDING <br /> <br />$ <br /> <br />..:> Y v'- (1 . ~ b <br /> <br />PERMITS REOUESTED <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 />-1tEC8ANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLtJKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fr8lle ____Steel <br /> <br />Other <br /> <br />FlNISBEDFLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************........*.......*.**..*.** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTIO~ <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />**.***************************.*********** <br /> <br />ELECTRICIAR COMPANY <br />State Cert. or Regist. # <br />SignAture 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 />OTHE~ COMPANY <br />State Cert. or Regist. 0 <br />Signature City License Registration 0 <br />.**..************************************* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />+ ~-.,..:.. <br /> <br />'..Ji":;t:"'~4 <br />