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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Jff ~9~yA h. <br />r5 ....s 1-1 ~ <br /> <br />OWNER 'S NAHE fVLff-::r16:. 5" It , <br /> <br />~.k.s <br />. <br /> <br />PHONE <br /> <br />OWNER I S ADDRESS <br /> <br />JOB ADDRESS 3~~3 a. (j Ak~ <br /> <br />f-IO~E <br /> <br />-:iT. <br /> <br />'-.lrr <br /> <br />57 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. # .2 Y-;lt, ~ ~/ - ,,0.:5!) .. () Dl>[){) .., .Sf <br />WORK PROPOSED:~Construction ____Addition <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />----Alteration ____Repair ____Install <br /> <br />____S ign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />~ <br /> <br />____COII.lIDercial <br /> <br />____Indus t " <br /> <br />____Swim. Pool <br /> <br />_Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: 5cd&:Af 1lo8J'11t . <br />, <br /> <br />v -/4J()JV\ I CfJ(lfJIJ!.:r, <br />, I <br /> <br />12.(6, W ~fr'1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RES ID ENTlAL: <br />COIiMERCIAL : <br /> <br /> <br />LG <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 />$ f:;f &0 . €>O <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_hl.R.E.C. <br /> <br />____KECHAHl GAL <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 />FINISHED FLOOR ELEVATIONS: <br /> <br />FT" <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature ~ -;~ <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br /> <br />~. <br /> <br />ELECTRICLAN COMPANY <br />State Cert" or Regist. ~ <br />Si~ture City License Registration # <br />*******.******.*************************** <br /> <br />PLUMB ER COMPANY <br />State Cert" or Regist. U <br />Signature City License Registration ~ <br />****************************-************. <br /> <br />ME CliA.N I CAL COMP AI'lY <br />State Cert" or Regist. # <br />Signature City License Registration # <br />****************.....**.********.********* <br /> <br />Q1ll.ER COMPANY <br />State Cert" or Regist. # <br />Signature City License Registration ~ <br />******a**a****a*****_..****.*.***..******* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />'. <br />