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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S~m~ ~~arf-<-t SqL1tttL <br />OWNER' S ADDRESS 51( IS':> rY1 ct'Y"' I<. e t- 5 CC fA tit r e <br />Joa ADoRESS 3)( 107 th4ak e -f ~A(lre.. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL LD.' 02. - 2-1R- 2. J - 00 10- tJ3QOO...OtJ2--17 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE 7'66 - Y17Lj <br />- 7-eph 1r~' II~ IF! 3 ~~'1 c <br /> <br />WORK PROPOSED :~ew Construction -^ddition ~teration ___epair _Install <br /> _Sign ----.JIove _Deaolish <br />PROPOSED USE: _Single Faaily --14/F _, of Units _K/H <br /> ~ec-ercial _Indust. _Swia. Pool _Other <br /> <br />___estaurant &: HFth Departaent Approval <br />. DESCRIPTION OF WORK: R ~ de ( I AI+&r 1~ GJ-f ~x Ij-/ IV') <br />I I. / <br />BUILDING SIZE: 7;?~ X Il}, 1R21 Square Feet, /, Height <br /> <br />1) tdfj / <br /> <br />RESIDENTIAL: <br />COtlHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br />.ls::..JUILDING $ LI S' ~ ODO Valuation of Total Construction <br />L-ELECTRICAL 'Ex ,~f; riJ l/ Co AKP Service Florida Power Corp. <br />~CBAlIICAL $ L I ~' Valuation of Mechanical Installation <br />..1S-PLUKBING GAS ROOFING SPECIALTY <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUcnON: XBlock _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />BUTTJlER <br /> <br /> <br />COMPANY ~ C rC\ +-r <br />State Cert. r Regist. . <br />City License Registration . <br />....................................... <br /> <br /> <br /> <br />I~~(I <br /> <br />Signature <br /> <br />F.T.RCTRICIAIf COMPANY Emrll"'~ E./ec-ty/c- <br />~. \\ ~ , "Ii\:")..... State Cert. or Regist. . DOOO ~ 77_ <br />Sian'lture ~ ~~ City License Registration . ;:L <1:; <br />.......................................... <br /> <br />l'LIIIlBJII ODKPAIIY -V h d t="\qt\- k ~ -p I ivw- 17 ) rJ Y <br />Pt . ~~ ~ ~ State Cert. or Regist. . c.. c-O tJ:/7 ~ <br />Signature, I ,,'V 1 ' L City License Registration . / ~ <br />\ .......................................... <br /> <br />~ <br />Sigoat ~ <br /> <br />COMPANY -::JfalJ I.j ~'t{'Y-'1ev-~'''be-rJ <br />[ ~ State Cert. or Reaist. t (!-I!Co ~~'f'" <br />City License Registration' ;(~. <br />.. ...................................... . <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />'f!4A. ~ 'j <br />\ <br /> <br />~~ <br /> <br />PERMIT OFFICER. <br />