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<br />" <br /> <br />APPLICATION FOR PERKI.T <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHR (h,(.~frJ~ ()' I!ftt ~ <br />OWNER'S ADDRESS 39D35 CfrU /f,ll- <br />JOB ADDRESS ~t <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK <br /> <br />PHONE <br />'appl~I4-t'W <br /> <br />)t{o-6-J:1S <br />f7.. 3$~~O <br /> <br />SUBDIVISION---1I k:Jr\f*\tI( 'WeoO <br /> <br />PARCEL I'-D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction ---..Addition ---..Alteration --.Jlepa,ir _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1IIF _' of Units ---1IIH <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Deparbaent Approval <br />:J:I~'fA'U.- Pr ~vCf <br /> <br />o~ <br /> <br />~ f;ot {)t- fJ~1:/If(1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATl'ACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHHERCIAL: ATl'ACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKI.TS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />S<l.7 C9. <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fRlCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECIIANlCA.L <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br />~ther <br /> <br />TYPE OF CONSTRUCIION: _Block _Fraae _Steel <br /> <br />F1III.SBED FLOOR ELEVAnONS: FT. IS PROJECI IN FLOOD ZONE AREA! <br /> <br />.........................................PURTON~NCEtrNC. <br />11315 STATE RD. 52 <br />HUDSON, FL 34669 <br />PHONE 813-857-1118 <br />FAX 813-856-6774 <br /> <br />CONTRACIOR SECTION <br /> <br />BtJlIJ)ER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />I to ~7 <br /> <br />RT.RGTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiDnAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />HECllANlGAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />:,';'t . <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKI.T OFFICER. <br />