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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILlS <br />BUILDING DEPARTMENT <br /> <br />YeYJ IJ ~'2. ,..---~ <br />OWNER'S NAME (' ~ ~ <br />OWNER'S ADDRESS <6 7 ,)S <br />67 ?oS <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />'ptJ/i.7lI ~- ~. <br />A/v/2TII ~ <br /> <br />Ii <br /> <br />,l> a 'l.; ..- <br />SUBDIVISION ...D L'vz;-)l!.. cA-'~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction /Addition ----Alteration <br /> <br />~epair _Install <br /> <br /> _Sign -.JIove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _, of Units _K/H <br /> _ec-ercial _Indust. _Swia. Pool ~ther <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />S~e,v <br /> <br />~#" <br /> <br />BUILDING SIZE: I.J'C,I X ~ " <br /> <br />Square Feet, <br /> <br />'I' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKMERCIAL : <br /> <br />ATTACH (2) PLOT PLARS & (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 />V' BUILDING <br /> <br />$ <br /> <br />~~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fEClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDllSHED FLOOR ELEVAITONS: <br /> <br />F1' . <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAC'lOR SECTION <br /> <br />BlTnJ)~- COKPANY ~~~'-"&.1 <br />State Cert. or Regist. f 0 Q} <br />Signat City License Registration f <br />.......................................... <br /> <br /> <br />~<t-I <br /> <br />RJ,RCTRICIAN <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />SignAture <br /> <br />PLmlBER <br /> <br />COKPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />.... <br /> <br />Signature <br /> <br />OTRRR COKPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />