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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/_'J-9-9i <br /> <br />JOB ADDRESS <br /> <br />d~ t'~~aA <br />S.6-/C, rdo~ <br />,5 ~JVl-<.. /1- .5 ,1 & t!> V -'L <br /> <br />PHONE <br /> <br />r;g3-~g:~-7 <br /> <br />OWNER'S NAME <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br />_Other '5 e:. R. c.. r /l( <br />jf t:' ., ;Vl <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant & Health Departaent 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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ f / (j & # l!JLJ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlfICAL <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 ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />J COMPANY & ~ <br />~ / ,/t/. State Cert. or Regist. . <br />U~ UA~ ( City License Registration t <br />****** ********************************** <br /> <br />BUILDER <br /> <br />Siimature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />RT.ECTRICIAN <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />PLUKBER <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />OTRF.R <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />