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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER · S NAME <br /> <br />!A~oLb <br /> <br />~1(1t /~I)?p <br />5LC:~ ~~-~ /(I,.{/ <br /> <br />~) <br /> <br />PHONE <br /> <br />7~-3~b9j <br /> <br />/ <br /> <br />OWNER · S ADDRESS 5 L> >'__-r- <br />. <br /> <br />- ~~-" ~ <br />LEGAL DESCRIPTION: LOT(S) / 71 <br /> <br />/)/<. <br />. <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION 5~_?77 ~J'~~ ~ ~ L <br />f <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ----..Alteration -Repair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />-.JI/F <br /> <br />_' of Units -.JI/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br />OBSCRIPTIOR OF 1iOIlk: l/J; L, [j; <: '/""'b <br />BUILDING SIZE: / /) X I"Z--- . ~ Square Feet. Height <br /> <br />RESIDENTIAL: <br />COKMERClAL : <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 />~ILDING <br /> <br />$ <br /> <br />.I; aOO' <br /> <br />e<-> <br />- <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />"'--- <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECllARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-- <br />_PLUKBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block -XFreae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIRlSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />COR'IIlAC'l1IIl, SEC1;W . ) <br /> <br />~ ~ ~ COIIPA1IY W7{~ <br />h / State Cert. or Resist. , <br />Signature ~ ~.h'~~ City License Registration , <br />~**************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SignAture City License Registration , <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Resist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />HECBANIGAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />OmF:R COMPANY <br />State Cert. or Resist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />