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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER' S NAHE~" s: <br /> <br />OWNER'S ADDIlESS <br /> <br />De m €!/e5 <br />~ j Iv ~ (')J;l.K S; <br /> <br />PHONE <br /> <br />t, .J. d.:J <br /> <br />j)z, <br /> <br />JOB ADDRESS <br /> <br />SJJ me.. <br /> <br />LEGAL DESCRlPTlON: LOT(S) <br /> <br />BI.OCI'.....-SUBDIVISION ~~j /ve't Ot4K S' <br /> <br />PARCEL 1.D.' O~ ..:2G at 01';",:1 oecoo OtiC <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction -----^ddition ----Alteration ----.Repair_Install <br /> <br />_Sign <br /> <br />--..Kove <br /> <br />->>eaolish <br /> <br />_ec-ercial <br /> <br />--1J/F _' of Units --1J/H <br />_Indust. ~Swia. Pool _Other <br /> <br />PROPOSD~E: _S~eF~i~ <br /> <br />--Restaurant It Hea1th Departllent Approval <br /> <br />DESCRIPTION OF WORK: C~ t:Jt.~i"", <br /> <br />Pcx:J- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: A'lTACB (2) PLOT PLANS It (2) SETS OF BUlLDIHG PLANS It (1) SET ENERGY FORMS. <br />COttKERClAL: A'lTACB (3) SETS OF BUlLDIHG PLANS It (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTD <br /> <br />~UILDIHG <br /> <br />$ Jilt, '6 ';''w <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AIIP Service <br />c,<J <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---lIEawrJ.CA.L <br />-PLUtlBIHG <br /> <br />$ al (Q .3 <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRucnON: ---.Block _Fraae _Steel <br /> <br />Other <br /> <br />FI.RISBED FLOOR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................*.. <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />,} I _\ 00"",1..... :J:;\L<:'- <br />COMPANY H~~ ~rv r ( _k. -J , <br />State Cert. or Regist. . Coc.OQl O's"l ~ <br />City License Registration' ~o <br />............********.****.**.**.*.******** <br /> <br />RUTTllER <br /> <br />PLUMBER <br /> <br />=~' COHPANYiJ~'( 7KZl7,~d'.f.j k~-ec- ~..j, <br />\1 0 State Cert. or Regist. . <br />. , ~\U~~. City Liceose ResiotraUon' (.'1 <br />L .***...**.*.*********.*.*.**.************* <br /> <br />COMPANY tJ 6 y'; 't. t OL...~ RJ- s A e- <br />State Cert. or Resist. . c.Pc~ 5"'f:''P- <br />City License Registration' c::i).c.. <br />......**..*****..**.****.***..************ <br /> <br />Signature <br /> <br /> <br />\ <br />~ <br /> <br />__I~~ ~ANY <br />State Cert. or Regist. . <br />Signature _ - City License Registration' <br />/' .....*.********.*****.*....************ ' <br /> <br />R'~ <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />...........*****..*.*.***..*..*.********** <br /> <br />Signature <br /> <br />APPLICATIOII APPJIOV8D BY -,/tUI.r(j )1)~ <br /> <br />PEBKIT OFFICER. <br />