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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />.6 1.J (3A1V~ <br />OWNER'S ADDRESS & J.j .3 S (9.A I \ ~\, '" 0 <br />JOB ADDRESS S J-../-3S- GA \ \ f3 \.. V P , <br /> <br />PHONE <br /> <br />S)3 - 7<1;0 -1"/1.:< 1 <br /> <br />!^~ <br /> <br />~ <br /> <br />~()~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair -llInstall <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />../eo..ercial <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />--- <br />DESCRIPTION OF WORK: :...J t-J::>,A \..\.. <br /> <br />Yo 1 e y... .. 0 . f=' o{l. S t: c... \..vL ,\ I <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 />PERKITS REOUESTED <br /> <br />JBUILDING <br />../ ELECTRICAL <br /> <br />$ <br /> <br />.;2.,'5>00'0-0 <br /> <br />/ <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FItUSHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY -:YO e G7 0) ~ Sf\" \-th C\'"i'-l ";)11L , <br />State Cert. or Regist. . C (" Ln..;l.() (a?;Z <br />City License Registration' \ ~ '1 <? <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAR COMPANY W A-'T\<'-'(V ~ b. l..'t. <? <br />:=~ ~./ L-- State Cert. or Regist. t ""~ <br />'t.--? .. /11 City License Registration t <br />****************************************** <br /> <br />o ()~-\- Ii A L.\".....< S <br />t?Ob I rD6' <br />l~~f <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />