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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />LOT - <br />OWNER'S NAKE--'=- rn -e r t! l J <br />.~ '\ <00 ~ <br />~AW\-e- <br />LEGAL DESCRIPTION: LOT(S) 1 D-7 <br /> <br />OWNER'S ADDRESS <br /> <br />Pc;. n 1-<.... G tlc ~. <br />f\1Y\~+-~y ..~T <br /> <br />PHONE <br /> <br />''I <{(-S(- .J..l 't r <br /> <br />0",., <br />, <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --'ddition ----Alteration ~epair _Install <br /> <br />_Sign <br /> <br />--",ove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--",I F <br /> <br />_, of Units ~/H <br /> <br />_Coaaercial <br /> <br />_lndust. <br /> <br />_Swim. 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 />RESIDENnAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 1& (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. <br />. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELECTRICAL <br /> <br />100 <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHARlCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED 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 />COKPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />:CTRI:~~~ COKPANY'I... t2a- CL~ r etIf <br />State Cert. or Regis t . ,l::--.s 0 "00 If} Ii <br />anatu . / 6V~ City License Registration f } g 7 <br />****************************************** <br /> <br />PLUKBER COKPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />KECBANICAL COKPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />***********~****************************** <br /> <br />OTHER COKPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />