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<br />APPLICATION FOR PEBIIIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />SUBDIVISION <br /> <br />t)~-m~/1rW? <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---..Addition ---..A-lteration ---Repair -_Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />-PeIIolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----.Jt/F _, of Units ----.Jt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-Restaurant & Hea1th Departaent Approval <br /> <br />DESCRIPTIOR OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLDT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOlUtS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UlLDING <br /> <br />$. <br /> <br />Valuation of Total Construction <br /> <br />RT.RC'l'lUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IEaL\IIICAL <br /> <br />$. <br /> <br />Valuation of tlechanical I.nstallation <br /> <br />-----PLUtlBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnON: --..Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />PDlISBED nooR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />Bml.QER <br /> <br />COtIPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.................................... <br /> <br />, <br />) <br />:;1:' <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.............................~............ <br /> <br />tlECBABICAL COtIPANY <br />State Cert. or Regist. , <br />Slgoature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />" State Cert. or Regist. . <br />Sisoature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />