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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ~oS e'l ~,c>J \JD..^-- \ r... l ~I e \ \~.s <br />OWNER'S ADDRESS ~CX)) n L 1" ^ h ~c <br />JQB ADDRESS '3 9 '-C;.2 ('"\ ~""" f\ \J e /' <br />b4 <br /> <br />PHONE <br /> <br />7 rf;z 4 src; <br /> <br />\)y, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION 5 -1\ seT e.s -kA. ;. e 5 - .2. <br /> <br />PARCEL I.D.f/~ - ~6-.::u ~ t Y <br />WORK PRoPOsED:hew Construction <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />_ec-ercial <br /> <br />----Addition ----Alteration _Repair _Install <br />-'love _Deaolish <br />)L N/F b of Units _K/H <br />_Indust. _Swia. Pool _Other <br /> <br />_Sign <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />___estaurant It Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~f\. S ~ \ \ <br /> <br />\c/ <br /> <br />S~~\\~J~e <br /> <br />U~5L <br />. <br /> <br />BUILDIHG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDEI1TIAL: ATTACH (2) PLOT PLANS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />hUlLDIHG <br /> <br />$;) 4 Cf5 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----"ECBAlIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLOKBDiG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF mllsTRucnoN: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAfiONS: <br /> <br />FT. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA T <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAC'lOR SEC'lION <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />RIITI.DRR <br /> <br />Signature <br /> <br />SignAture <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />IU .R.CTRICIAIiI <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />.......................................... <br /> <br />PLOKBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />KECBAHICAL <br /> <br />Signature <br /> <br /> <br />COMPANY GoocJ W <br />State Cert. or Regist. . <br />City License Registration , <br />. .................................. <br /> <br /> <br />\-~, \)( <br /> <br />OTRRR <br /> <br />APPLlCAnON APPROVED BY <br /> <br />PEBKIT OFFICER. <br /> <br />\~ <br />