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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />=:: ~9;r:17~f}~fjA-€_ PBO~ <br /> <br />JOB ADDRESS /:J. - .J -6 -;;.., / - 0 ~ 6 fj - ('3- 8 l:) CJ 0 - 0 CJ / D <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ~ddition ----Al.teration _Repair _Install <br /> <br />_Sign <br /> <br />--1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S~leF_ily <br /> <br />---Yt/F <br /> <br />_' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />.-Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />PERKITS REOUESTED <br /> <br />$ f '/ .2.r: cJ-7:;J <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----"ECllAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _FraIIe _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />,'. <br /> <br />Sml.DER COMPANY <br />State Cert. or Regist. . <br />Signature . City License Registration . <br />****************************************** <br /> <br />RT.RCTRICIAIf COMPANY <br />State Cert. or Regist. . <br />SianAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />IlEGllANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />