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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S NAME <br /> <br />72'~j/1 <br />&:, /OL/ <br /> <br />, <br /> <br />U/OL/ <br /> <br />/r ,~"6;{/E l- <br />f k E/.?~v sl- - <br />/ <br /> <br />CAM~c/ 51 <br />I <br /> <br />PHONE 7 JlP( ~ 3)1/ i <br /> <br />OWER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPlION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION 0-' f' SI-C1{ ~~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL I.D.' <br /> <br />WORK PROPOSED:~ew Construction _Addition ---..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---..JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---3'l/F _' of Units ---3'l/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />.-Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPlIOIi OF WORK: <br /> <br />GA44~c C'J{/r <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIiTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUlLDIIiG PLAIIS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLAIIS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIiSTRUCTION. <br /> <br />PEBKITS REOUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />t//HECllAlllCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />:?/~C) <br /> <br />Valuation of Mechanical Insta11ation <br /> <br />_PLUHBIliG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOIi: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSBED FLOOR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />COrfrRAC'rOR SECTION <br /> <br />,., <br /> <br />mHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />BIJTIJ)RR <br /> <br />Signature <br /> <br />RI.R.CTRTCIAR <br /> <br />COMPAIiY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SionJlture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />HECBAlUCAL <br /> <br /> <br />COMPANY ~~/? /b~ AEA?-~',c/b /. (~t:'/N 6 <br />State Cer . or Regist.' C,4:~ "7/5// <br />City License Registration . <br />.......................................... <br /> <br />Sigoature <br /> <br />OTIIRR <br /> <br />COMPANY <br />Sate Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATIOR APPROVED BY <br /> <br />PEBKIT OFFICER, <br />