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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br /> <br />OWNER'S NAME <br /> <br />(- At" I /J.. <br />~/A~ <br />G(~ <br /> <br />I~ ~ .tc; <br />~./V~ <br />L /,')V /1/ <br />. <br /> <br />PHONE <br /> <br />77<7- ?y/r <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. , <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: _Single FOlily <br /> <br />_K/F <br /> <br />_, of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: ,6 TJ'Yv OA~~ 1!J-r-4 _ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: 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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AMP ServIce <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrlHle _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 />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />Signatur <br /> <br />F.T.RCTRIC~ COMPANY kfd./f1l.1] CtU1-7vOrfC-L- tz:~(C <br />:::::e/~ .?t:';:.~ ~"",rb4 ~~~\~~~e O~e:~:~:~~i:" f o7'^- <br /> <br />..........................~~o~ <br /> <br />PLUKBER COMPANY 1/ <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />..' COIIPAHY ~:r. ~rl..( ~~~ <br /> <br />State Cert. or egist. i <br />City License Registration' ~~~ <br />***********~******************************0 t- L , .~ <br /> <br />Signature <br /> <br />~ <br /> <br />HEGHARICAL <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />