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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME IIlr EI/J1~r C{))( <br />OWNER'S ADDRESS 1:>/07 ~"I"e t ~ <br />. <br /> <br />5/Tme <br /> <br />PHONE <br />0Ne~res i: <br /> <br />($13) 7t!K~ 7/~1 <br />mHP <br />,.- . ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.0.' tJ~ -;2(,-:lI- ,t}t!J/O" //;J/JO-CdI/cOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair V Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_D~olish <br /> <br />PROPOSED USE: ./' Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia, Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: /1/-,.. 6 (),udl t,;~".jer INS-br1119-66N <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS, <br />COHH.ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />, Florida Power Corp. <br /> <br />W.R.E,C. <br /> <br />~CBARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical 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 />FlHISHED 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 />BIITI.Dg <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN COMPANY /?t Dh kit.. tJ (/<~/V.o If t: c... ~{r cr-;f:/ c/iL CO/l/l! <br />f;1 / # ~ n_ _~ State Cert. or Regist. t <br />SignAture j~ LA. a~/><U--<--f City License Registration' 0 '7;z, <br />, ****************************************** <br /> <br />PLUH.BER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />f?~ <br />/ / <br /> <br />COMPANY ~,..,;e:S rl26;1'1- ~ ~ ~ .e..1/C <br />State Cert. or Regist. f C.A CoP '/:rcr y.g> <br />City License Registration t / 7 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFI~, <br />