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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRllILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAME A /tiel ~E W ;:j C Gill/{ L / /1,/ <br />OIlIIIlR'S ADDlIESS In /</'l I? 74 _P 6('ic/( S <br />JOB ADDRESS .... c:; a. /'/; e <br /> <br />PHONE/--?/3 7?26' 70Y <br />(JA/< S IcY-t=- hlfA' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration ~epair ~Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: -Ls ingle F8IIily <br /> <br />~/F <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: X <br /> <br />BUILDING SIZE: / :l X'/"j [) , <br /> <br />L/ ff'{) 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 />PERKITS REOUESTED <br /> <br />~BUILDING <br />~ELEcrRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.-JlEGllAliICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECf IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACfOR SECTION <br /> <br />RUTT.DER COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiooAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />KECllANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />