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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUlLDlliG DEPARTtlENT <br /> <br />OIlRBR'S -,;f!r;h,4-pd.L l&#'dE/)Y <br />. OWNER'S ADDRESS l'e..2..s J 9 T /7' S~.E T <br />--- <br />JOB ADDRESS 4K::;;':;- / c; II-! $; /~ Eer <br />7 <br /> <br />PHONE <br /> <br />?;r{)- (. ~;$.'IJ <br /> <br />LEGAL DESCRIP'I'ION: LOT(S) <br /> <br />BLOCK ~.3 SmlDIVISION.4!?)CJ,lf?E<; h'A ~ T A'~.7:o JJ <br /> <br />PARCEL I. D.' <br /> <br />, ., <br /> <br />(OBTAIN FROM PROPERfY TAX NOTICE) <br /> <br />WORK PROPOSED:---.:-New Construction _Addition --Alteration -...Repair, _Install <br /> <br />_Sign <br /> <br />--..Kove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />---1J/F _' of Units -1J/B <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool ""'---0 the r <br /> <br />-...Restaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: /tJX /,2 a,,~~e7e ~~/l:)t"7f L/;J7//ry ~",I'IJ./A:.'J /tJX:J.O ~PlJ:'p <br /> <br />, 1/ <br />BUILDING SIZE: /0 x/~ ' .1:2. 0 Square Feet, 9 /O~eight <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />L~UILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />/~d()" Co <br /> <br />Valuation of Total Construction <br /> <br />\, , <br /> <br />_ELEcnuCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. ' <br /> <br />W.R.E.C. <br /> <br />-1IECBAIIICAL <br /> <br />$ <br /> <br />~J I' <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY ' <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: . 3 Yl' . <br /> <br />.......................................... <br /> <br />IS PROJECT IN FLOOD ZONE AREA? 'p'--/" . <br />- YES ,- ,. NO-' <br /> <br />1lUI1J11lIl ~~ <br /> <br />Signature. I . / <br /> <br />mRTRACIPR SEW ... . .vJ <br />6i? COMPANY w-n <br />8. r/ 'State Cert. or Regist. . <br />'-7 A/y" h 0 :;r.~ License Registration . <br />.............~... ........................ <br /> <br />RI.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />ff', I <br /> <br />SilmAture <br /> <br />f;111i <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />tlECBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />1 ~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />