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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE LJ;<I'( JV~ (j{A.!T-ef1. Ft.......rJ <br />OWNER'S ADDRESS S I J ) C,-"" /( /J /1/ <br /> <br />PHONE 7 go - 7 ~o 7 <br /> <br />JOB ADDRESS <br /> <br />s-/3/ <br /> <br />C-r1- (( ;:J (...... <br /> <br />LEGAL DESCRIPTION: LOT(S) 3-(;, l(IId~J~- BWCR 1<6> SUBDIVISION C1T., ~HILL~ p/!'1-r S'f <br /> <br />PARCEL J.D.' 1/-2fo-;).J <br /> <br />o CJ 1 0 - 1 '8':)CJ 0 - 0" 3 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction Y Addition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Family _M/F _, of Units _M/H <br /> ~eo..ercial _Indust. _Swim. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: /"i JJ;r, J,-.J <br /> <br />BUILDING SIZE: 3 d X 'f 0 , I AVU, <br /> <br />Square Feet. / <. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT 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 />PERMITS REOUESTED <br /> <br />-LBUILDING <br />-LELECTRICAL <br /> <br />$ '1. c.rvv- <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: rr Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FWOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />~ State Cert. or Regist. . <br />Signature LJ~ () City License Registration' <br />**************************************** <br /> <br /> <br />=~oe~' COMPANY C,r(#~--- / <br />, State Cert. or Regist. t ,-1 )( <br />u e City License Registration . w <br />*** ************************************* <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration I <br />********'*************************tt*******. <br /> <br />Signature <br /> <br />,~ . '" <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKITOFFICER. <br />