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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ; c72o/ S AJ /(- IN <br />r;:> C>- 0, I 5- /: r/ <br />OWNER' 5 ADDRESS ~ L /' (7- <br /> <br />JOB ADDRESS .\ a ~ <br /> <br />PHONE <br /> <br />7tf.2 <br /> <br />I ~(O <br /> <br />,/fv'E . <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 ----^ddition ----^lteration --.Jtepair _Install <br /> <br />_Sign <br /> <br />---.JIove <br /> <br />_D~olish <br /> <br />~ <br />PROPOSED USE: _Single FSIIily <br /> <br />---.JII F <br /> <br />_, of Units ---1t/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Depar~ent Approval <br />'Y r ~~~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />f~. _______________ <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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrSlle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA T <br /> <br />YES NO <br /> <br />..*.*.**.******************.************** <br /> <br />CONTRACTOR SECTION" <br /> <br />GOKPANY <br />State Cert.or Regist. , <br />City License Registration . <br />**.......*..*********..*.**************.*. <br /> <br />BIJIIJ)ER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*.....*..*****.*************************** <br /> <br />SianAture <br /> <br />PLUHBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****........*.***.******...***...***.**..* <br /> <br />Signature <br /> <br />OTRRR <br />Signature h::::?,/V1 ~ <br />I <br /> <br />COMPANY <br />State Cert. or Regist. , <br />ity License Registration , <br />**.*...*.***.***...** *****..**....*.***** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />