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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />/)-1 /L1 <br /> <br />Fv/' :://j I :.s. <br />IC f./ f L r--- / /~ , <br /> <br />PHONE ? / .") -(;~;y /- /.) .~~/ <br /> <br />OWNER'S ADDRESS <br /> <br />DO x 5'1.)2-. <br /> <br />, ~. f/J <br />j~ /1:f'c C,AJVtJ <br /> <br />".c c-- . <br /> <br />.3 3iV 7 <br /> <br />JOB ADDRESS '3. '-II'; (?"./~1.1t;:<C,-/fV' t/ I 'v,?jjf~E- <br /> <br />.[).7 <br /> <br />/1 II c- <br />~ /7ft:"f. <br /> <br />/1-<; (lei L/ S <br /> <br />-.5 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _KIF cJ ____K/H <br />-L-' of Units <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: /;/'c l~~C)/C::ijV/6=.. 9] ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~ Z L( X t'f' <br />AKP Service <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllARICAL <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />,"~ ROOFING 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 />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist" t <br />City License Registration t <br />*******************************.....*.***. <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />*******.*********.*..*..***.***.*********. <br /> <br />Si2118.ture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />OTHF.R <br /> <br />) <br />r_l/ ,/ <br />I , /l-:& '- <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />***************************************.** <br /> <br />_ COMPANY Ci i'< I i_ l; <br />(;/ , State Cert. or Regist. , <br />l/<-~__ City License Registration f <br />*******.***.*..*..**..*.***.*.*****.***..* <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />