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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />;"',), ~ <br />';. 0.. \"to,. 0\ <br />s..~ '~ <br /> <br />( ~. ~\ \\~ (AM-~ <br /> <br />PHONE-.J '3 ').. " b..~ q ,-S <br />7 ~ f h) ,~\-- ~ \ \ ~ ~ \. <br /> <br />OWNER I S ADD~S <br /> <br />\O\":Jf1~ ; --..L '0~ <br /> <br />JOB ADDRESS 'S~~L <br />~ '"'3, <br />LEGAL DESCRIPTION. LOT(S) \;:>. '>l::J<:)' NIQ' 0 'BLOCK Y SUBDIVISION 2." '(i''''r- \\... ~In. \S ~~~'" <br />PARCEL I.D.' \'d- .::J.\o -.:::1\ - t>'t)\.\()-D()'-\\)D-()\~ 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---^lteration -...Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swt.. Pool ___Other <br /> <br />_Restaurant & Health Depart.ent Approval <br />DESCRIPTION OF WORK: \=Q of',. c:.p \ U't-~~ l/J l ~+ \, '\ 5 \-., <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />,,-~~c.-e.. <br />~BY:Il.BIN& <br /> <br />PERMITS REOUESTED <br /> <br />$ ''3 \\.\ .~~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />_MEGllAlfIGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrOle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />**********************************.**..**. <br /> <br />YES NO <br /> <br />'0 \..0 f"'\~\ <br />BUllBBR <br /> <br />CONTRACTOR SECTION' <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />RI.~GTRIGIAR <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />******************..*..*.*******....**..*. <br /> <br />SiRnlllture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />**********..****.***..********.*.**....**. <br /> <br />Signature <br /> <br />HEGBANI~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*************************.***.************ <br /> <br />Signature <br /> <br />omRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />***************.********.*********.**..*** <br /> <br />Signature <br /> <br />~rTCATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />