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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE F01~ M "'fl.t<~T SC:WRR.e 1:.Uc._ PHONE ~I-a -7 B 0 .. g~ <br /> <br />OWNER'S ADDRESS 3 B \ 0 9 MA~ke'T 5Q\JAltE -z.E.f'Hy RlilL.LS I FL "'3~5+Q <br /> <br />JOB ADDRESS S R ME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION ~-:l.tD -? 1 <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PRoPOsED:bew Construction .-Jddition ----Alteration _:Repair _Install <br /> <br />_Sign <br /> <br />---Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Feaily <br />/' ec-ercial <br /> <br />---1t/F _' of Units _M/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: F.22 e LlA it 1\'1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ~< ~~/.. Or') <br /> <br />Valuation of Total Construction <br /> <br />_ELEC1"RICAL <br /> <br />AItP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECBAlilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RUIIJ)ER <br /> <br />Signature <br /> <br />COHPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RI.RCTIlI\;UR COIIPANY /l P (!,. Ed, E'{!~~ c gtj . <br />Ci'ii. f ~ . State Cert. or Regist. . _~t') 2/..., <br />SilmAture . .J ,1./#41 .i City License Registration . ,;;l/! <br />........ ................................. <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />