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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~) ,// <br />1,.Y)<..e-U,Z 10 -~ -9S- <br /> <br />\I '\ .::::-' \ \ I <br />OWNER'S NAHE.....:tta.(TU A- be-. ~J'5\ S. '\\1 \.. --:>eX\ N\.l \ \e..r <br />\ <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESSJ..dJId-. ~\J.3/<"jr:::.,Ui 'bC' . <br />LEGAL DESCRIPTION: LOT(S) D30 BLOCK(Y:CO'1iUBDIVISION ufhyrWid:je. <br />PARCEL LD.' <~-~ -dJ../ ..... Of =30 - hODr;(') - O~I D (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_D~lish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK, (10<!lp.A'A'E.5LI'lfl.'5 fbR I.lh /, I-f '&my (P&z.f'ORT -V "/) 12U)E "'~ <br />BUILDING SIZE: X Square Feet, 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 />PERMITS REOUESTED <br /> <br />~LDING <br /> <br />$ /?!/y)"oO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECHAIflCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER _ <br /> <br />Signature <br /> <br />~ <br /> <br />&01& <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />