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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />Rtt~ [JItN J f L-- S <br />~R<f'Lf-d \. \()v(rl1 <br />S/7frJE <br /> <br />PHONE <br /> <br />'7[tJ'~ 9c1 J'f <br /> <br />OWNER'S ADDRESS <br /> <br />At/E- <br /> <br />JOB ADDRESS <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCIt <br />PARCEL LD.' /J-~ -;2)-c>o/p--.:JJtfL)O- 0/9"0 <br />WORK PROPOSED:_New Construction ~ition <br /> <br />SUBDIVISION <br />(OBTA~N FRoII ~1lOPRIlTV TAlI 1I0TI"ll1 <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: V; ingle FaallY <br /> <br />-Alteration _Repair _Install <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />_KIF <br /> <br />-' of Units _K/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swt.. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: IJ. j) ;J W/If/()DW.r To CM...PtJR.-,r t//A.JJ2. a//>p/I..Jer :! IMR.~ DDOfL <br />tJ1. ' '':>;/ //.u€ /.2' ijcIUi!f:.A1 U/,lJL '- <br />BUILDING SIZE: I <r x. /t?, 0'Z,d.. Square Feet, pJ-o 7" 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 />V;UILDING <br />~ <br />_ELECTRICAL <br /> <br />_HECBAlUCAL <br /> <br />$ <br /> <br />PERKlTS REOUESTEQ <br />/ tJ tJtJ ~ tJ D Valuation of Total Construction <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />nPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS 'PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUILDElt <br /> <br />CONTRACTOR SECTIO~ <br />/!e-Ji /}LU,N1" <br />~~ COMPANY <br />State Cert. or Regist. , <br />. City License Registration # <br />. <br />****************************************** <br /> <br /> <br />Signature <br /> <br />~ ~~ L COMPANY mO~/8/f-/ EL-..EC, <br /> <br />. ,~ - State Cert. or Regist. # ~OOOOJ,/,/.J <br />--.- --- -~ _4' _./ _ City License Registration f dA-:d-- <br />v ****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />KEGHANICAJ.. COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />O~ COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />