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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />o <br />0')/ ~ <br />~ /tJ 3.51 <br />b"'b '} ~:F <br /> <br />OWNER'S NAME ftcJ!#f<j) L 11 /(0 cd E <br />OWNER'S ADDRESS ~...)V z B E& Y L ).J7 A/ E <br />JOB ADDRESS ~ P1 t f< n)... D P () / JV r <br /> <br />PHONE <br />~oT [33 <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' (OBTAIN FaOH PROPERTY TAX. NOTICE) <br />WORK PROPOSED: ~ Construction ~tion .--.Alteration -.Jepair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ngle Faaily <br /> <br />-Yt/F <br /> <br />_' of Units _H/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIP'l'ION OF WORK: I})- 2.x 13 ..s He U J I Y?-X.30 ..s e-I< E'E~ I< 0 'i) P'1 <br />BUILDING SIZE: J/~ x"1-s , '"'1?r..s- Square Feet. ?}?- Height <br /> <br />RESIDEBTIAL : <br />COMMERCIAL : <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 />_BUILDIRG <br /> <br />$ <br /> <br />PERKITS REOUESTED <br />9 o-?Z- I 00 Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---"ECBAliICAL <br /> <br />$ <br /> <br />Valuation of Hechanical 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 />FDfISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Rlrrl.Do. <br /> <br />CONTRACTOR SECTION <br /> <br />. COMPANY irS-is c ~ ALS:;T <br />~~ State Cert. or Regist. . ~RCD3::5~V <br />. City License Registration' I ~ 1 <br />'****************************************** <br /> <br />Signature <br /> <br />RI.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Si~Ature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />