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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S N~R)c... <br />OWNER'S ADDRESS YD <br /> <br />bE\)EL.a~mE.n'T' I :t......K_. <br />~~ a011 (..frhLjlt)ll\':' <br />lcLure) \JC\.uQ.t 1 ~i "c\ ' <br /> <br />PHONE <br /> <br />~~s3<1 <br /> <br />JOB ADDRESS <br /> <br />'6 ~l S l <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~New Construction ____Addition ____Alteration _Repair ____Install <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Faaily <br /> <br />____H/F <br /> <br />____' of Units ____H/H <br /> <br />_eo..ercial <br /> <br />____Indust. <br /> <br />_Swim. Pool ___Other <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 />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 />_MECHAMICAL <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 _FraJIe _Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAR COMPANY ~~ <br />d~). / /')~ State Cert. or Regist.' /'=:~44d?-..-5 .vrJ <br />Si2llature ZV-bVLut#' 2<Y V~ City License Registration' //76 <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />....................................*..**. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.................*...................*.... <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />...................................**.**** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />