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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME Kathryn perkins <br /> <br />PHONE (813) 788-1108 <br /> <br />OWNER'S ADDRESS 38719 Camden Ave. Zephyrhills, Fl. 33541 <br /> <br />JOB ADDRESS Same <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLO(;1L- <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' (OBTAIN FROM PR~ERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction -Addition ----Alteration \ //~epair _Install <br /> <br />_Sign <br /> <br />--..JIove <br /> <br />_Deaolish <br /> <br />P~POSED~E: ~S~eF~ily <br /> <br />--..JII F <br /> <br />_' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />--..Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: Re-roof <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 />Valoation of Total Construction <br /> <br />_ELEC'l'RlCAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEClWfICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br />TYPE OF CONSTRUcnON: _B1ock _Fr~e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />....................................***.** <br /> <br />CONTRAC'lOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Resist. . <br />City License Registration f <br />**.***...*****.*************************** <br /> <br />Signature <br /> <br />ELECTRICIAB <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**.*************************************** <br /> <br />SionAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />S~~te C~r~. cr Regist. f <br />City License Registration t <br />..............****.****..*...*.*.********* <br /> <br />Signature <br /> <br />KEGHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />*..*************************************** <br /> <br />Signature <br /> <br />0TIgB ~ a>>WANYRyman Cons<ruction (Roofin~ <br />. ,t.'" il State Cert. or Regist. t rc0061648 <br />Signatur ;~.../..... / _ City License Registration t 275 <br />~ .*.*.*.....*****..**.*..*.**..***.****** <br /> <br />Di v. ) <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />