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<br />OWNER'S ADDRESS <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAIU\ C'n~r l~ b V 1:;; <br />l()~ ~ <br />la~ ~:t <br /> <br />PHONE g \ ~j - '7 ~~ - {odOS <br /> <br />JOB ADDRESS <br /> <br />Coo-aL\- <br />(oo~ L\- <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION L~ S()fl <br />PARCEL LD.# D-a - ~<.o- ~l -OO~D- C:CJ\CO -o'Q~ (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction _Addition --..Alteration _Repair _Install <br /> _Sign --1Iove _Deaolish <br />PROPOSED USE: X Single Faaily _H/F _' of Units _H/H <br /> _ec:-ercial _Indust. _Swim. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />[Jab \ q X 0;0 <br /> <br />~nCJUj.Q <br />I q X CJO I <br /> <br />~o Square Feet, <br /> <br />Height <br /> <br />BUILDING SIZE: <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />1040 QC) <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'J"RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COBSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IB FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />. COIiTllAl<IPR SECTI, <br /> <br />B~ lnlPAIIY () L d Co \'1 ztr L-C ct.; f:) () <br /> <br />~ State Cert. or Regist. # <br />Si.~ ~.. City License Registration # 33/.." <br />-. . ~~......................... <br /> <br />F.T.RCTRICIAN COMPANY <br />State Cert. or Regist. # <br />SianAture City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />MEGHABlCAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />