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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER' S ADDRESS <br /> <br /> <br /> <br />8'; 3 - 7tff'" u,tsZ; I <br /> <br />OWNER' S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BI.OCI....--.SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED: ew Construction ---^ddition --Alteration __..Jlepair _Install <br /> _Sign ---..JIove _Deaolish <br />PROPOSED USE: v(ingle Faaily --.Jt/F _' of Units --.Jt/H <br /> _~rcial _Indust. _Swia. Pool _Other <br /> <br />-Restaurant &: Health Departaent Approval \ \ _ <br />DESCRIPTION OF WORK: 6Cre eh :Kcom ~ \5 <br />BUILDING SIZE: ;lO X 10. ;)-00 Square Feet. g I Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />A'l'TACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UG <br /> <br />$~ 7 '5o~ <br /> <br />PERKITS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~UtlBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: ~loclt _FraJIe _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />F'I' . <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />~ ~=Aft~h6 IU~ <br /> <br />~ State Cerl:. or Begist. . - & '07/' <br />City License Registration . O{o <br />.. .. .......................................... ? <br /> <br />RIITIJlD. <br /> <br />RT.RCTRICIAII COMPANY <br />State Cert. or Regist. . <br />SiDnAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />tlECllANICAL COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />