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<br />{~~-~ <br /> <br />(}yt jv <br />APPLICATION FOR PERKIT It' <br />CITY OF ZEPHYRBILLS \- I ~.,C) ~ <br />BUILDING DEPARTMENT II ~ ' <br /> <br />.- - <br />tJiJ? \2-\""' ~"O - . <br />fJA ~1 <br /> <br />OWNER'S NAME ~,." 4 S <br />OWNER'S ADDRESS ? I '3 C; <br /> <br />JOB ADDRESS <br /> <br />~I ~O <br /> <br />;: CeJ Ie PHONE 7<K:2 C~g' r- <br />17'tf t::'f. 2 elPI;j' rh ~fj ~ <br />I? d s r L -e /.;)It y .,.hI J.J... $ <br />#- ~ S- BLOCK SUBDIVISION ~ ~k Mil Sulx/, <br />. <br /> <br />LEGAL DESGRlPTION: LOT(S) <br /> <br />PARCEL I. D.' () 1. - ':1 C, -:;./ - 0 I R 0 - 0000 0 - 0 :z j- 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition ----...Alteration _Repair _Install <br /> _Sign ----Kove _Deaolish <br />PROPOSED USE: -x"Single Faaily ----KIF _' of Units _M/H <br /> _eo..ercial _Indust. _Swi.. Pool _Other <br /> <br />~estaurant & Health Depart.ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />rVCA. r11 e (;Q.. v- a J -e <br /> <br />BUILDING SIZE: 1'-1) X ~ ~ \ . 30 Sf <br /> <br />Square Feet. /1-. 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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$iO(}().. 0 0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGIIAIIICAL <br /> <br />$ <br /> <br />_Valuation of Mechanical Installation <br /> <br />_PLmtBING GAS 1f5 Ph. ROOFING <br />TYPE OF CONSTRUCTION: _Block XFraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREAT J:L- <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />~;:5~ <br /> <br />. <br /> <br />CONTRACTOR SECTION <br /> <br />GOKPANY ~~ (U~.PJL.,) <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />**********************.***.******...*..... <br /> <br />SiDnAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.**..........*......*.*..*...*..........*. <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*.....*.**......*....*.....*............*. <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />***....**...*....**.*.*.***...***....*.... <br /> <br />Signature <br /> <br />APPLICATION APPIIOVIlD BY ~ ~ :1J <br /> <br />~) ~~\ <br /> <br />PERMIT OFFICER. <br />