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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />3-17-'17 <br /> <br />---) ~ f <br />OWNER' S NAKE k Gel tJ'f G... n S tu y) <br />OWNER' S ADDRESS I! CJ Me tY\ () S/A. (i" 0 0 r 1- <br />JOB ADDRESS ~q (c ~ C 1/1 0 VI C ~~ :/K~j v., d <br />III~ 'S <br />I [ II) BLOCK <br /> <br />) / <br />,....., c, <br />, .... . <.) .c, <br /> <br />PHONE <br />F~L <br /> <br />39 7 '-{ I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION {- ry\ (.? vr c.. t c( <br /> <br />PUII~+ RV <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FUlily <br /> <br />. <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust, <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: Sc: -r u P .p"'~K:. lvt..:)J.e r ---x V <br /> <br />BUILDING SIZE: <br /> <br />S( X 35 . <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 FORKS. <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 />~BUlLDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-'lECHANlCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BlITT.DER. <br /> <br />CONTRACTOR SECTION <br />.--r-- ( <br />COMPANY -;:./2 t:J A/ ~..f <br />---.. <br />) /"' /)_. State Cert. or Regist. . <br />J,-t."/'-./Yj';vf.: ./........{..- .-n- City License Registration' <br />/ *~~************************************* <br /> <br /> <br />,/ Ln I)C(fi.G~( R-;v COMPANY )1h~ ~I <br />N'!-t -r!'J State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />~e;7.. ;;rD <br /> <br />Signature\-'" <br /> <br /> <br />ELECTRICIAN <br /> <br />SillflAture <br /> <br />COMPANY ~ <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />..5"::>- ~,'tz) <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />020~:-~ <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />************~***************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />