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<br />APPLICATION FOR PERKI.T <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />(' . L' <br />:::>&;/j I IV Q...u <br /> <br />OWNER'S NAKE /fl r (')(") '(de"" Eo S'rYh <1 yU <br /> <br />PHONE(SI1) 7(; 7- / S 07 <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS .5 S I Q <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />j' JI k <br /> <br />s 7. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:____New Construction ____Addition ~lteration ~Repair ____Install <br /> <br />____Sign <br /> <br />---'love <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ...i:..siogle FSllily <br /> <br />____KIF <br /> <br />____, of Units ---'l/H <br /> <br />____eo..ercia1 <br /> <br />____Indus t. <br /> <br />____Swia. Pool _Other <br /> <br />____Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Tt-cc <br /> <br />!,) , <br />1\CPClI r <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERGIAL : <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 CONSTRUGTION. <br /> <br />PERKITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AKP Se"ice <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLtIKBING GAS ROOFING <br /> <br />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'l <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BUIWER ~~jr ji)]~jJ cotIPANY Be7fcr IAITT <br />,; ,-, (. /'/ -/;;){~ State Cert.. or Regist. , <br />Signature ~ ~ City License Registration , <br />.......................................... <br /> <br /> <br />rvvc, <br /> <br />ELECTRlCIAR COMPANY <br />State Cert. or Regist. , <br />SiDnAture City License Registration , <br />.......................................... <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />