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<br />I <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />{; /~L-' <br />3136 0 <br />~..{ ?i / <br /> <br />C()TLegl<. <br />C tI/fxJ CE- 'I <br />6-t~~ <br /> <br />PHONE <br /> <br />;7S~ <br /> <br />~/ f(S- C <br /> <br />OWNER'S NAKE <br /> <br />OWNER'S ADDRESS <br /> <br />Rl>. <br />POIth-. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install <br /> _Sign --1Iove _Deaolish <br /> . <br />PROPOSED USE: _Single Family _M/F _' of Units _M/H <br /> _Commercial _Indust. _Swim. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Department Approval <br />P,.((L FIla <br /> <br />76 //J3~ <br />~ . 3h Square Feet. <br /> <br />b >Cb <br /> <br />15} /-hE.b . <br /> <br />BUILDING SIZE: <br /> <br />o <br /> <br />x <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 />~~G <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />/' <tD <br />c.o :3 0 . i<)C Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CHAHlGAL <br /> <br />$ <br /> <br />.. <br /> <br />Valuation of Mechanical Ins tally. ion <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 />FDITSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~~COKPAHY S'O'vi577hc <br />-= -~ -- State Cert. or Regist. t <br />.--~- City License Registration t <br />****************************************** <br /> <br />/k()~ fA) Or(. <br /> <br />70' <br />( <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />SiRnature City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />