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<br />APPLICATION FOR PEKKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER 'S <br /> <br /> <br />8/3- <br />PHONE ,7 B 8 -- t s..s~ / <br />. ;;1" <br />L ~-r- E W I <br />05+ i ZEp/lYlYh'//'i- r/ ..!J.2,f'Y- tD <br />/ 7-1 '/ <br /> <br /> <br />/...:J <br />OWlIER I S ADDRESS ~ I _' A <br />-~ <br />JOB ADDRESS b /~ ~ fEAR L <br />. <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PAJlC1lL I.D.t"~ -~ ~ -::t f - D () ~ 12 - <9 n 3 D" - DO / /J (OBTAIII..- PIlOPEIlTY ~OTlCEI <br />WORK PROPOSED:~ew Construction ---Addition --.J\1teration --llepair _Install <br /> <br />.-Jign <br /> <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />--.JIove <br /> <br />->>ea>lish <br /> <br />--.Jt/F _' of Units _K/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />._Jestaurant &: Bealth Departaent Approval <br /> <br />DESCRIPTION OF WORK: YA!cBTA// ~GJf~I5t/L,(> 7& 1!tt:'~~/ETe' /)h~:h' Ie ~/~~-'_ <br /> <br />BUILDING SIZE: X . (~ ij. A s~re Feet. Height <br /> <br />RESIDEIITIAL: ATrACB (2) PLOT PIARS &: (2) SETS OF BUILDING PLANS &: (1) SET ERERGY FORMS. <br />COMMERCIAL: ATrACII (3) SETS OF BUILDING PLANS &: (1) SET ERERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$ ~ j 6J(!), 6J iJ <br />/ <br /> <br />Valuation of Total Construction <br /> <br />RI.RCJ'RICAL <br /> <br />A!IP Service <br /> <br />Florida Power Corp. <br /> <br />W.R..E.C. <br /> <br />--.JIEClWlICAL <br />-PLUHBIIIG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F COIISD.ucnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIBISHBD PI.OOR. ELEVATIONS: <br /> <br />FT. <br /> <br />IS PItOJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />Blm.DRR COKPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RI.RCTRTCIAII COMPANY <br />State Cert. or Regist. . <br />SianAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COKPANY <br />State Cert. or ReSist. . <br />Signature City License llegistration . <br />.......................................... <br /> <br />IlECBANICAL COKPANY <br />State Cert. or Regist. . <br />Signature City License R.egistration . <br />...........................~............ <br />'\ .' <br />/--- <br />OTRRR COKPANY /' <br />- State Cert. Regist.' <br />Signature ~ City License Registration . <br />................................ <br /> <br /> <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />