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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />E I-C\ C- (' c. 10 <br />~ "l c... c> ~ <br />$+\ h1. e- <br />d...\ <br /> <br />P <:> i '" .+. <-- LO r f' . <br />f9-m-e. + ~ {' S-+ LV&. r <br /> <br />PHONE <br /> <br />;lot -~(4C <br /> <br />LOT <br />OWNER'S NAKE <br /> <br />OWNER I S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br />WORK PROPOSED:-X-New Construction <br />_Sign <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~ddition ----Alteration ~epair _Install <br /> <br />-.Jfove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . . <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />~ELECI'RlCAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />100 <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIHISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />=ur::~ff~ <br /> <br />. <br /> <br />COMPANY~ ~ ~ r etif <br />State Cert. or Regist. , /:--SOOOcc II <br />City License Registration t ) g 7 <br />****************************************** <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />