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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />ML CPt.-L "', l'1 ~4s ~~~ <br />6~\Gz.. \ \ ~ ~'lE. <br />~ <br /> <br />PHONE t~G- ~~\S- <br />\ 2..fJ\ ~ i tt\..\ \ ~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />'2-~_~_ O~-O'\~- ()-,,\~ <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~A1teration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant &: Health Department Approval <br /> <br />~--R~'r <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 />_BUILDING <br /> <br />PERKITS REOUESTED <br />$ 3, l GS ,()D Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlU.CAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _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 /> <br />CONTRACTOR SECTION <br /> <br />/ <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registratio <br />**************************************** * <br /> <br /> <br />,/' <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registrat n' <br />************************************* *** <br /> <br /> <br />// <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registrati <br />****************************************** <br /> <br /> <br />Signature <br /> <br />MECHANICAL // COMPANY <br />State Cert. <br />Signature City License Registrat . <br />~ ************************************** *** <br /> <br />OTRRR 4" , , COMPANY Y~t..~~ \. C.N.'S\1.\..c.:\\U~ <br />r5 State Cert. or Regist. I I&Q:)Slo""7~ <br />Signature" , -', \.""' ' City License Registration , 28."?-. <br />, ~~*********************************** <br /> <br />/ <br /> <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />