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<br />"'.':--"-.~'~_.-'."'.' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S IWIB Q U ~S.6 L-L-- yV\. <}:S12.0l01'-.\ PHONE r; 'ZO tZ)("y--- <br />OWNER'S ADDRESS 7)7-36 Jill" 6:ELI4 C_O oRT 2' HILes. r:=-L3.~s4-- \ <br />JOB ADDRESS 4-'7 b Cf ~\ },... VE tJ2 c \12. c ~E' ZEPH'Y'1( \{ ILLS. r~L ::?ss4- \ <br />, <br /> <br />LEGAL DESClUPllON: LOT(S) BLOCK SUBDIVISION C H H L F() NT V ( LLH $ <br />PARCEL I.D.' 'l-<ECbRD PLHT ~(-''-~ I PfiGE 70 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: L/'New Construction ---^ddition ----Alteration --..Jepair _Install <br /> <br />_Sign <br /> <br />---'love <br /> <br />~eaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />---'l/F _' of Units ---1f/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: L q X 4-'3{...:;; 12C.:-t, Square Feet, <br /> <br />r <br /> <br />'3 Height <br /> <br />USIDEBT1AL: 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 />LsUlLDING <br />V RT.RcrRICAL <br />V MEalAllICAL <br />~UKB~G <br /> <br />valuation of Total construction <br /> <br />AIIP Service <br /> <br />l / Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F COIfSmUC'fiON: ....l..L"Block _Fraae _Steel <br /> <br />Other <br /> <br />FIJI1SHED FLOOR ELEVAfiOIlS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ..JL" <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY q () 5<::; ~ (...L 1Y\, 9> Vel\..) \,\ <br />~ .vV1 G) State Cert. or Regist. . C (T (' 0 ~s It-. \ \ <br />'-t'Ztv~~.LL " l .'~ ~'- City License Registration' c"z- If-S <br />.......................................... <br /> <br />RIITlJlER <br /> <br />Signature <br /> <br />QtJ)..lcJt <br /> <br />COMPANY 1< US,=>(~t._L. VJ,'1.. ~120lul'-t <br />(';) State Cert. or Regist. . En.. (":;0 IOS S I <br />~J ~,v...- . City License Registration . 1(,'9- <br />.......................................... <br /> <br />COMPANY 9USSF LL. rvt. ~'Rotv/-.{ <br />r:J . State Cert. or Regist. . C-F'Co '],C{C(C( (~ <br />M. '~tOL.~ City License Registration' (OJ <br />.......................................... <br /> <br />COMPANY q () <::;s.(~/ _C llJ. ~Rotv ,\..( <br />(';') State Cert. or Regist. t c..14 c...o 4-1 "2"';4- <br />tv,. J*"') \-C'.f\AA.- City License Registration 'II <br />.......................................... <br /> <br />::'::A11 Q0}eL{ <br /> <br />PLIJKBER <br /> <br />Signature <br /> <br />ql~1t <br /> <br />MECHANICAL <br /> <br />OTHER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATIOR APl'BlIVIlIl BY '-Il CL~ )1? n~ PEIlIIIT OPPICER. <br />