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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />C~~ <br /> <br />OWNER'S NAKE b \ Ylcf'n WI \ \ t' y~ <br /> <br />OWNER'S ADDRESS Ss 7 a 14 +Y\ ~tyfe.--r <br /> <br />JOB ADDRESS 5S71"\ '?4Vh S\'ret't l <br /> <br />PHONE 'i\'\ ~ ) 7 B 7 . as'5\) l,. <br />Ze~\i\~-rh\\\<;l PL 33Si1\:J <br />7-f'th'1 r'" \ \ \ (.,. ~L '~ '3b~ -V <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. . \l - 1.LD. 2\ - DG1\). I') u U LJ 0 - l) \ "+ ~ (OBTAIN FROK PROPERTY TAX NOTICE) <br />~j;~iuu,f <br />WORK PROPOSED:_New Construction _Addition -A1teration"':::::::::'- r _Install <br />. <br /> <br />_Sign <br /> <br />---"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ""'::::-"S ingle F_ily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />Kp - Ru~~ <br /> <br />Square Feet. <br /> <br />( '3 )/3 s~ <. ) <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL <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 />$ \ ?33. L)~ <br />. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECllAllICAL <br /> <br />$ <br /> <br />Va1uation of Kecbanical Installation <br /> <br />--PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel <br /> <br />Other <br /> <br />FIliISHED 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 />BlrrlJlER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />SiQfUlture <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />~~ COKPANY lY\i\\"w CI!ll~Wwthlil IlK. <br />~ /L. State Cert. or Regist.' ({'( l)~\C;~ (" L <br />City License Registration , <br />......................................... <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />