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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S RAKE <br /> <br />PHONE <br /> <br />OWIIER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL LD.' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />VORK PROPOSED:~ew Construction ---Addition ---..Alteration ---.Jtepair_Insta1l <br /> <br />_Sign <br /> <br />---Kove <br /> <br />-Deaolish <br /> <br />pmPOSEDUSE: ~~eF_ily <br /> <br />---ft/F _' of Units ---ft/H <br /> <br />_ec-ercial <br /> <br />_Iodust. _Swia. Pool _Other <br /> <br />-Restaurant & Health 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 />COMMERCIAL : <br /> <br />ATTACII (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />~UlLDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRI.CAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />V.R.E.C. <br /> <br />--"ECIW1lCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUC'1'lON: ___lock _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVATIONS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DRR cotIPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RT.RCTRICIAIII COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />.......................................... <br /> <br />PLmtBm COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.............................~............ <br /> <br />tIEClWUCAL cotIPAHY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />