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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHE4~.5s/'~ <br />OWNER'S ADDRESS ~9 3'79' / <br />JOB ADDRESS L ~-' <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />{!J / ' / de y'""'~ PHONE .~ 5'-/1/..59 <br />~~~y R~ 5r'~ 2.oc 9~ <br />2?--,A//)s/ r/, ,-~35Ya <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. --A-lteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FSIIily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK:' /0>< /7 ,S'er-<f/--P"j/} Ic;iJ J11 <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 />$ <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 />--1IEGllARICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'ITON: _Block _FrSlle _Steel <br /> <br />Other <br /> <br />PlIfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />.COIlTllACTQR s~ / _ <br /> <br />' ~ GOKPANY~~ ~ i-./ <br />/'~, , State Cert. or Regist. t <br />(./,~~ , ~<dCity License Registration t <br />.......................................... <br /> <br />BUTT.DER <br /> <br />RJ.R.GTRIGlAN COMPANY <br />State Cert. or Regist. I <br />SianAture City License Registration I <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration t <br />.......................................... <br /> <br />HECBANICAL COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration t <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />