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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER' S HAHE J; fYl , I , e.. <br />OWNER'S ADDRESS 3 7')1 ~ <br />JOB ADDRESS j cx.1"Y\ e.. <br /> <br />& {f i.) <br />-tj. <br />F l-\v (" . <br /> <br />PHONE '7)(~ - 15 '-f 7 <br /> <br />L~S H... e. t::-. CL5 r- '7'1 Fj-. '7 h .~"rt?, c t. c r ~ ;1.(' I p(;~ i 5 i <br />BLOCK ~ SUBDIVISION 6Ha,,-,~ Li,-~ i?/cic,e... <br />, <br /> <br />p1J"3 f'C:.,. .1f <br />LEGAL DESCRIPTION: LOT(S) ~+t, <br /> <br />PARCEL LD.' J()- ,.;t~ - ~ I -' COYO .-()C3CC-OO <;"-C:' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---..Addition --Alteration ~epair -LInstall <br /> <br />_Sign. <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---Ytlf, _' of Units ---YtIH <br /> <br />_~rcial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant (( Health Departaent Approval <br />DESCRIPTION OF WORK: h/JC c I t1 S' hi-I! c{f I () n 5h c r i...d c. u.-k.){)(j <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, (0 Height <br /> <br />RESIDENTIAL: A'1"l'ACB (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 />~UILDING <br /> <br />PERKITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IEClWlICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRucnON: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FlOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACI'OR SECTION <br /> <br />COKPAIiY I!cMehl7ce. <br />~I /J J . '~y. State Cert. or Regist. . <br />(/)'. <.!...({.~ <! ~ City License Registration . <br />.......................................... <br /> <br />--it- 7 d t..j <br /> <br />R(ITT.DER <br /> <br />RT.RCTRICIAII COMPANY <br />State Cert. or Regist. . <br />SiOOAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />tlECBABICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />0'rIID COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />