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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />~~~ <br />3 ? 13:2-- S en-(/-( <br />3 '? q "3 A- 3 G il-H,- Ll~ ~ <br /> <br />PHONE <br /> <br />, 7/S-7;2{)5 <br /> <br />OWNER'S ADDRESS <br /> <br />Q/v--( . <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D. # / c( - 2 G - 2 I - (J C I tJ - CJO I co - ~ b~<r.IN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fl' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />..........................*.*.*.********** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUU.DER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />.******..****************.*....*********** <br /> <br />RT.RCTRl;CIAN COMPANY <br />State Cert. or Regist. # <br />SianAture City License Registration # <br />*****.*...*.***************.************** <br /> <br />PLUHBRR 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 f <br />.***..*...********.***.*.**.*******.****.* <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.***.****.**.*****.*******.*.**.********** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />