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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAIlIl ~,~---(~-:-; .... .~ <br />OWNER'S ADDRESS-54~ ~ ~-- <br />JOB ADDRESS ? ~(f~ Is 1 -::t L <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL J.D.' /I""!)ftral- ()O/f}-,!fJ/aJ' O/jO <br /> <br />PHONE <br /> <br />T <br /> <br />... - <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ~teration ____epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />-Peaolish <br /> <br />. <br />PROPOSED USE: _Single Faaily <br /> <br />~/F <br /> <br />_' of U~LLS _K/B <br /> <br />_eo.aercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant Ii: Hea1th Departaent Approval <br /> <br />/ b r?{j'-ILd <br /> <br />Square Feet, Beight <br /> <br />\q,~ ~h~ <br /> <br />DESCRIPTION OF WORK: <br /> <br />x <br /> <br />~. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQ~ FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />4, III o. eO <br /> <br />Valuation of Total Construction <br /> <br />----y'LECTRlGAL <br />---1fECBAlfiGAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Insta11ation <br /> <br />_PLUMBING GAS <br /> <br />ROOFING SPECIALTY <br />_Fraae _Steel ~Jl-~ Other <br />IS'PROJECT IN FLOOD ZONE ? <br /> <br />"nPE OF CONSTRUCTION: _Block <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY .. .' <br />State Cert. or Regis't. . <br />City License Registration . <br />****************************************** <br /> <br />_I <br />, <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />Siana.ture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*************************************....* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />********..*..*.*....**.***..****........** <br /> <br />MECHANICAL <br /> <br /> <br />OTHF.R <br /> <br />COMPANY <br />State Cert. or Regist. <br />City License Registration . <br />****.*****.***.******.*********..*..*** <br /> <br /> <br />PERKIT OFFICER. <br />