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<br />APPLICATION FOR PBRKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARllIENT <br /> <br />OWNER · S NAHE <br /> <br />.DAN i<A~Gk <br />~ \=30 PlEASAu-(. <br />Oed::. S,DE PAcul. <br /> <br />PHONE <br /> <br />~l ~-7Jr - oq,s <br /> <br />OWNER · S ADDRESS <br /> <br />s-t. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D.' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -6ddition -...Alteration _Jepair _Install <br /> _Sign --..Hove _Deaolish <br />PROPOSED USE: / Single F_ily --..HI F _' of Units --..H/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />_Jestaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~ ~~l-~ <br />I <br />BUILDING SIZE: \ 2. X \ \ . \ 32- Square Feet, 25-q Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 />~UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />~ co <br />DD.- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Ins tallation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br />I <br /> <br />RT .RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />tlECHANICAL <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. I <br />City License Registration I <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />