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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N <br /> <br /> <br />5 <br />/071 --if <br /> <br />PHONE <br /> <br />:7/~J7ol <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />'J- "2... -J b P J5 if P6 jo ~ <br />LEGAL DESGRIPTION: LOT(S)...J BLOCK SUBDIVISION J Y 5oV) $ () ~ P $":)" ~~ i(~ <br />PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition --Alteration -.Jlepair Llnstall <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br />s/a.b .fo(' dnVe I/J"t;Y <br />I <br /> <br />GlJl.-tC ( r:. t "C <br /> <br />..I <br />~h"'f <br /> <br />, I J~ <br />,.... , '11 <br /> <br />5eff/f (,~~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ ! J I t!) () PEBlIITS REOUESTEI! <br /> <br />r- 3. 9s'i? 0 D- Valuation of Total Construction <br />I <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~GllAliICAL <br /> <br />$ <br /> <br />Valuation of Hechanical 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 />FIRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ COMPANY ;!/(!ort ;II~t~(/M <br /> <br />./ ... . State Cert. or Regist. , <br />ttflfl{ (14 City License Registration , /10 ~2 <br />, t .......................................... <br /> <br />Signature <br /> <br />RT.RG'1'RICIAR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />SiR1lAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />HECllAlfiCAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />............~............................. <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration I <br />...............................****.*.***. <br /> <br />APPLICATION APPIlOVEo B~QfA/YVI t!d'/}1 ~) PEBIIIT OFFICER, <br />