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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~V-(.... <br />,1,\,tif(, <br />\ ., <br />,,~ <br />PHONE '7 g 3 <br /> <br />;J(t{ <br /> <br />OWNER'S NAl1.E If Ie H A R D <br />OWNER'S ADDRESS 5 6. 0 '1 <br /> <br />JOB ADDRESS <br /> <br />510'1 <br /> <br />l.u()o 0 W~R1(-I <br />I ?"'*' 5 7 8. E ET <br />17ft 3T(?e~ r <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1. D.' J 1- ;t 6 '- ') ( - 0 () (~ -lI i.f ~ V'- 60 f/ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ---..Alteration _Repair _Install <br /> _Sign ----Kove _Deaolish <br />PROPOSED USE: ~n.gle Faaily _KIF _, of Units _M/H <br /> _ec-ercial _lndust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: A;:;;;/J;;;,iJ",,4. 0 0 I T ( 6 Vc F B f 0 r~ () u 11 - BAT (-I - P 0 R c I...{ <br /> <br />BUILDING SIZE:] ]~'i) 6". 6 6 b Square Feet. I t.{ Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHl1.ER.CIAL: ATl'ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERH1TS REOUESTED <br /> <br />v' BUILDING <br />v ELECTRICAL <br /> <br />$ It)} DC! C <br />,< /' <br /> <br />Valuation of Total Construction <br /> <br />J 00 <br /> <br />Al1.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECBAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />V PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block V Fr_e _Steel Other <br />F1NlSHED FLOOR ELEVATIONS: -;J. FT. IS PROJECT IN FLOOD ZONE AREA? ~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUII.DER <br /> <br />COMPANY (~/l <br />~ % JI . ;. / State Cert. or Regist. . <br />. eP' /iJ~ City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SignAture ~ <br /> <br />COl1.PANY ~ <br /> <br />.~/. ~ /j State Cert. or Regist. # <br />~~~ City License Registration f <br />****************************************** <br /> <br />PLUMBER <br /> <br />COl1.PANY OU</rl.-.<.1 <br />/'J ,1 /JAf .. / State Cert. or Regist. , <br />~,t~1 'J/V 0....~j'.....z/ City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br />Signature U"--l/J ~7t. (J~./7>--d../-- <br /> <br />COl1.PANY c9..{A../)'\.--(... t <br />State Cert. or Regist. * <br />City License Registration . <br />****************************************** <br /> <br />OTRF.R <br /> <br />.J <br />Signature ~ 11/ [..1)~~ <br />APPLICAnON APPROVED BY /7 4h1.-f A 1 !J7./M j~tr- <br /> <br />PERl1.IT OFFICER, <br />