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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME LtVl J~ b-~ l\ic..rcO <br />OWNER t S ADDRESS~-S""' I 2- I" 'V\ S> I <br />JOB ADDRESS 8~ <br /> <br />PHONE 1~3 -& b'~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' 1/ - J 6<. ;j \ ~ () 0 I D - /I Y D D - 0 J 70 (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ddition --...Alteration ..LRepair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />" <br />~H/F <br /> <br />_' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swba. Pool _Other <br /> <br />_Restaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~ e.O\) F <br /> <br />3.~ :$t~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />~t) <br />3300,- <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECHAlfiCAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BurT.DER COMPANY Di~MonO c:de.t ~lS <br />~ /" . State Cert. or Regist. . Ct::G <br />Signature....___ - ~4, / City License Registration . <br />.......................................... <br /> <br />RT .RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration , <br />..*.................*******..*.*********** <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />........*...*..*...**.....*.........*....* <br /> <br />KECHANICAL 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 />