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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ~~C~~'t-e- ~~ <br />OWNER'S ADDRESS .7.3sS ~~.M)~. <br />3~ (o... '-f <br /> <br />PHONE ~ I $. '- 7 r? - =>- ? ..s-; <br /> <br />JOB ADDRESS <br /> <br />~ . <br />l Q ~ f'\, V I E' L...) <br /> <br />~4-. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' 3~ -~s:-~ 00(0 -O~c; -000010 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ---A1teration ~epair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPQSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />Restaurant & Health Department Approval <br /> <br />DESCRIPTIOII oP~,--R ""- - ~ ~ <br />BUILDING SIZE: X Square Feet. Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ bq 30,00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AItP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS 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 />CONTRACTOR SECTION <br /> <br />BUTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />...*......**********.***......**********.* <br /> <br />Signature <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****.**.****************.***..************ <br /> <br />Si QlUl ture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.******.*****.*****.******.*************** <br /> <br />Signature <br /> <br />MECBAlUCAL <br /> <br />COMPANY <br />State Cert. or Regist. * <br />City License Registration . <br />************************************.***** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />COMPANY~~~~ ~ ~, <br />State Cert. or Regist. t ~_. I ~ <br />City License Registration t <br />*.******.********************************* <br /> <br />OTRF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />