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<br />, . <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N_ ~slr . ~ . <br />OWNER'S ADDRESS----,.5 (; 3 5' ,,-.5--: 5/ -: <br />JOB ADDRESS . ',)~ <br /> <br />PHONE <br /> <br />~r:z-~'6?3 <br /> <br />, <br /> <br />. . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 1.D.' /!-~-7j- CkJIO- J3~- 0610 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ----^ddition ~teration -.Jepair ~Install <br /> _Sign ---1Iove ->>eaolish <br /> . <br />PROPOSED USE: _Single Faaily ---111 F _' of Units ---1I/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />'~~ <br /> <br />& Health Departaent Approval <br /> <br />4r /rzovP dL.R~S/~<O <br /> <br />" <br /> <br />_Restaurant <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~' <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 OP BUILDING PLANS & (1) SET ENERGY PORMS. <br />PROPERTY SURVEY REQ~ POR ALL NEW CONSTRUCTION. <br /> <br />~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ /(990' <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECllAliICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUMBING GAS RooPING <br /> <br />SPECIALTY <br /> <br />TIPE OP CONSTRUCTION: _Block _Praae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS 'PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />OlIIPAIIY Pal/I.&~ ~~z "S' <br />State Cert. or, Regi t. . R. 00 h ~' <br />City License Registration' ;;L y~ <br />***************************************** <br /> <br />Signature <br /> <br />C, <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SiDnSlture <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OPFICER. <br />