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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKB ~\ ~ f\ <br /> <br />fV~~L-C~G~t0 <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS ~ cl y-s- _,~ eft ~ !J /l <br /> <br /> <br />LEGAL DESGRIPTION: LOT(S) \ \ q BWCK SUBDIVISIONS)'U }'i:: "?..... () ~ ~ ~'-::, p,..\ \ <br /> <br />PARCEL I.D.' ~ - ~~-~ ex \ -a\ ~~- Q)~~~ - D \ \ 4, (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: "f..-wew Construction ---ftddiUon ---ftlteration ---Repair _Install <br /> _Sign --1fove _Dellolish <br />PROPOSED USE: '><-stogIe Feaily _H/F _' of Units --1f/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: K~~ \'0~~ c...,~ <br />1\' '-.....) <br />BUILDING SIZE: 'See. xS'"6--t. )'1''\:::' ~ \ Square Feet. \ ls2 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 />~ILDING <br />v-i~CTRIGAL <br />~CIWUGAL <br />~UM8~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ bS G~~. \)0 <br />-.J <br />~C) (5::) AtIP Service <br /> <br />Valuation of Total Construction <br />V;lorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$d-~'So, <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />~/ <br />TYPE OF CONSTRUCTION: _Block _Freae _Steel <br /> <br />FINISHED FLOOR ELEVATIONSRD-t, FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />~. <br /> <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION- <br /> <br />BUlIJlER ~ /' cotIPANY <br />'-:"~"" '- //' . State Cert. 0 or Regist. E;.. ~C:....~ \ (::> "I ~ :>-. <br />Signatur~- ~ _ ' ,,: 'tJ.' City License Registration' 3/ 7 <br />.. ... .................................. <br /> <br />-----" <br />SionAtur~ <br /> <br />COMPANYt"= ~ E t. \...,~~ ~,\~ <br />State Cert. or Regist. . - C) C'")t.U..") '-\.('\) <br />City License Registration' :~ ~ <br />.......................................... <br /> <br />ELECTRICIAR <br /> <br />PLUHBER <br />Signature \) oj <br /> <br />COMPANYC~~tLL.~ ~LuM 'is. \\~t_ <br />~ State Cert. or Regist. , <br />C. ...0')~~ ----" City License Registration' s-gr <br />.......................................... <br /> <br />HEGHANICAL'/~ COMPANY \\,:~ \ ~~, ~ ~ <br /> <br />( . ./ State Gert. or Regist. . <br />Signat~ .,~ City License Registration, \ 3 4 <br />~_.- , ,0, __ ........................................ I <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERHlT OFFICER. <br />