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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />~Y\~\ \\~rl) <br />691<:lD\ <br />32>~D \ <br /> <br />N \lYrZ-\ \.,) <br /> <br />OWNER'S ADDRESS <br /> <br />/0#\ <br />{D~ <br /> <br />~f nlA.(/ <br />I\,~.N"\ I A €. J <br /> <br />PHONE g \~17'O'?J~ S410 <br />I L..e t> >>v ( n\ \ \ c.., I FL 33~4-L) <br />~pV\,/r~H\s. PL 2> 'j!f\.-U <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f \ \ . 2..&. - 7 , . \"')0\ \). 14- LOO' b \ 7 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />i<e-~ <br />____Alteration ~Repair ____Install <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />____Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br />____eo..ercial <br /> <br />____H/F <br /> <br />____, of Units _M/H <br /> <br />____Indust. <br /> <br />____Swtm. Pool ___Other <br /> <br />____Restaurant & Health DeparbRent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~'l\~- ~o~ <br /> <br /><:. <br /> <br />~\ ~,-t- Ro)f ~~~ \' <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS 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 />~CHAIUCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frale _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />****************************************** <br />. <br /> <br />YES NO <br /> <br />CONTRAcrOR SECTION <br /> <br />BIJII.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />SillnSllture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*************~**************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />K~ <br /> <br />~' GOIlPANY lY\, lBar Coft~rflj(t\o~ ~ . <br />~ State Cert. or Regist. # R<... h ~2..\S" <br />City License Registration , ? I <br />, *** *********************************~*** <br /> <br />OTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />