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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHK <br /> <br />WILLIAM BURGESS <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />5433 11th St. <br /> <br />JOB ADDRESS <br /> <br />SAME <br /> <br />LEGAL DESGlUPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' II.\. i.. ;.{, \. (', CJ i b <br /> <br />/ '2, l') (J Q () 0 ') 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ----.Addition ---.Alteration -.-.Repair _Install <br /> <br />_Sign <br /> <br />---"'ove <br /> <br />_Deaolish <br /> <br />_ec:-ercial <br /> <br />---"'IF _' of Units ----11/8 <br />_lndust. 2-swill. Pool _other <br /> <br />PROPOSED USE: _Siogle Fsaily <br /> <br />-.-.Restaurant & Health Depart.ent Approval <br /> <br />DESCRIPTION OF NORK: CONCRETE POOL <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATtACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATtACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERtIlTS REOUESTED <br /> <br />_BUILDING <br /> <br />$12235.00 <br /> <br />Valuation of Total Construction <br /> <br />--ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Gorp. <br /> <br />N.R.E.C. <br />< <br /> <br />----1IEGllAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~LUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF GONSTRUCIION: ~loclt _.f'rsae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />((O,~qOR SECTION' <br /> <br />Signature <br /> <br />v-f,,- <br /> <br />v\- Lei..- ~ <br /> <br />~ANY HOMETOWN POOLS INC. <br />State Cert.' or Regist. . CPCo? l:) 1:)4? <br />City License Registration . ~ ~ 17 <br />.......................................... <br /> <br />" <br /> <br />BUILDER <br /> <br />ELECTRIC~ \ <br />SianAture t~v~:" <br /> <br />COMPANY DENNIS TR7.NADF.L <br />~. {. , State Cert. or Regist. . <br />l }l,.-<,-~. t. ,. City License Registration' <br />.......................................... <br /> <br />F.LF.C. <br />67 <br /> <br />CONT. INC. <br /> <br />Signature <br /> <br /> <br />OOMPMW HOMETOWN POOLS INC. <br />State Cert. or Regist. . <br />City License Registration' ..;1./7 <br />.......................................... <br /> <br />PLUHBER <br /> <br />~~ <br />Signatur~\ ~\4--~ <br /> <br />COMPANY HAWLEY ALUM. <br />,. <br />" State Cert. or Regist. . <br />..' ~~ City License Registration . 85 <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature ,!ty License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PEBHlT OFFICER. <br />