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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE -?'s1?-.3 I ~8 <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:_New Construction ~ddition ---..A1teration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED~E: _S~eF~i~ <br /> <br />--J{/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia, Pool _Other <br /> <br />~estaurant I( Health Departaent Approval <br />DESCRIPTION OF WORK: 12,oP'Ob (~-r /J7 A h " .I )~? /n ,€ <br />BUILDING SIZE: X Square Feet. Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS, <br />ATTACH (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />X BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ /t5-5c~" <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 />-.JlECBAHICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COliSTRUC'J'ION: _Block _Fnme _Steel <br /> <br />Other <br /> <br />FlIiISHED FLOOR ELEVAnONS: <br /> <br />F1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />BIITI.nRR <br />?j A" Ii (. ') ;/j}" <br />Signature J//tt~/f1.p \.Z.,. _Lx:..c.~---1'~t-<.\ <br /> <br />YES NO <br />..................****.******************* ~f? <br />t7\v# O~ <br />CONTRACTOR SECTION <br /> <br />COMPANY /41;!1'( ~ Lc; /1 (~ Fl H1.$ C 6,/Z/ S te (xJ;;~ ~~,. <br /> <br />State Cert. or Regist. . <br />City License Registration . <br />.*****..********..****.*******.*********** <br /> <br />~;l ,~- '7 <br /> <br />RT.RCTRICIAR COMPANY <br />State Cert. or Regist, . <br />SignAture City License Registration . <br />************************.*.*************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.***.**..********.************************ <br /> <br />IlECBAHICAL COMPANY <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 f <br />******.*******************.**.************ <br /> <br />APPLICAnON APPROVED BY PERKlT OFFICER, <br />