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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ~O ~ (:)0. Q A 1\~\ YI\ PHONE~13-/8[) - '83CJL- <br />OWNER'S ADDRESS ,'5RtSO \~~ ~t- ZepJ.._pLkl'/ (,),P'1. 33SYo <br />JOB ADDRESS ~ f'(Y\. 0 U. 1\ a. 'n (\-j l"-f <br />LEGAL DESCRIPTION: LOT(S):5. (" 4--7 <br />'" <br />~----............. <br />'- P~~EL ~ "fl-!> \ <br /> <br />. I <br /> <br />WORK PROPOSED:_New Construction _Addition ---.ftlteration <br /> <br />BLOCK ~ C, SUBDIVISION <br /> <br />(OBTAIN FROM P,OPERTY TAX NOTICE) <br />-, , <br /> <br />_Repair -1LInsta1l <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--'l/F _, of Units _Mia <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~. e _ (\ c.., C <br /> <br />//Jc:2 ~ <br /> <br />l'fI-/t::N <br /> <br />~# Lt< <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDEJITIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />$ <br /> <br />7SS i'5:L <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 />--..JIECllAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT .DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT,RCTRICIAB <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />SianAture <br /> <br />PLmtBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />......................................*..* <br /> <br />Signature <br /> <br />KECBAlUCAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****.***..**.*********.*******.*********** <br /> <br />Signature <br /> <br />OTRRR COMPANYj?1 t L,,'j-t rfri\ \~.QJn.(' 0 J T rY\ C- , <br />/'s(~~~/.MJ1J1~~ ~~~eL~~~eo~e:~:~::~i:n' /~ 97 <br /> <br />(---,- *..**.********.**************...*******..*' <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />