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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME l...~ 0 -8 <br />OWNER'S ADDRESS 5'3 5 ~ <br />5~5~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />IO-t~ ~ <br />) 0 1'r, ~i . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration -.Jtepair _Install <br /> <br />_Sign <br /> <br />--"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ...Lsingle Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~f' ..J;.~ <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: Y e pi 0.. C <2.. S€u::J.e 1 \ i n eJ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuatiop. of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IEClWllCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEct' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />RIITT llER <br /> <br />Sigpa~}!IYXP4 <br /> <br />CONTRAct'OR SECTION <br /> <br />COMPANY ~~~~ <br />a JA State Cert. or Regist. t <br />~ City License Registration t <br />........ ................................. <br /> <br />/9fb.R <br /> <br />RT.~CTRICIAR COMPANY <br />State Cert. or Regist. f <br />SiDnAture City License Registration t <br />.......................................... <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />....................................*.***. <br /> <br />KECllANlCAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <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 />