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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />CJIl1'A.s ,d'-- <br /> <br />PHONE "7 g ':2.. ..,. "4 0 I 8' <br /> <br />JOB ADDRESS <br /> <br />OWNER'S ADDRESS <br />6J..0 I <br /> <br />L /;'A> -< r <br /> <br />.......-:- <br />.s/ <br /> <br />O/fK,s~ J eo <br /> <br />//10" /-:t ~ ~ ~ "'- /hA f) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: .....----~ingle Family <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia, Pool _Other <br /> <br />_Restaurant & Health DeparbDent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />) 7- X <.,to. yfSc) <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 /> <br />$ <br /> <br />/ 5cr~J, <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 />----1fEGllAlfICAL <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 />FDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUIIDBR COIPANY ~ M- ff.5 <br />~ State Cert. or egist. f <br />Signature W ~fJ City License Registration f '1ft: <br />**************************************** <br /> <br />ELECTRICIAN COMPANY '":s-~ 2P~.-L <br />~ State Cert. or Regist. t <br />SiflnSllture UJ~ P.. City License Registration t /70 <br />***************************************** <br /> <br />PIJlDBR COIPANY O~ .A't$5> <br />~ State Cert. or gist. f <br />Signature LJ~ /1:..(. City License Registration t ~~ <br />* *************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER, <br />