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<br />cd~e..J<C <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />_'S _llf~V ~~ PROBE <br />OWHER t S ADDRESS 9 - ~<.f tf c(' <br />S~ - ft~ Yf2f1ztLC; <br />BLOCK />6 SUBDIVISION C/T7 l> I- Zo/,t(fK.~;/J <br /> <br />JQB ADDRESS <br /> <br />7f?e - Ig-C;~ <br />/ z/i JI- <br />IZ- <br /> <br />, <br /> <br />LEGAL DESCRl.PTI.ON: LOT(S) <br /> <br />g <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction _Addition ---..Alteration ~epair _Install <br /> _Sign ----1fove _Deaolish <br />PROPOSED USE: f..-Sin8le FalIily ---1f./F _' of Units _M/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />.-J,estaurant & Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK:-13 J~ tlfItTRJYY)P CfffftdtF-()W <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: AT'lACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: AT'lACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />~CllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBDlG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDJISBID FLOOR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZORE AREA 'I <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />...********.**...*********** <br /> <br />BUTIJ)ER <br /> <br />Signature <br /> <br /> <br />COHPARY g <br />State Cert. or Regist. <br />ity License Registration . <br />* ***..*****.*..*****.*******************. <br /> <br /> <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />*...*.*****.....*..****.**** <br /> <br />OOIJPAIf'Iljl) I/JIf'./JP mr,/U f!1 ~ <br />_State Cert. or Regist. . M <br />AP" City License Registration' J (9 ~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />IlECllANICALfi <br />Signatur(~ <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATIOR APPROVED BY <br /> <br />PERMIT OFFICER. <br />