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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAME GIl} J! I TH LL D Y D <br />OWNER'S ADDRESS b / ()"2._ f LEt').s A '0 <br /> <br />PHONE <br /> <br />;7 Y "6'- 6 () ~-J s- <br /> <br />.- <br />, <br /> <br />-:Si <br /> <br />JOB ADDRESS <br /> <br />J'A 0 C: <br /> <br />LEGAL DESCRIP'I'ION: LOT(S) <br /> <br />BI.OC1L--.SUBDIVISION <br /> <br />PARCEL 1.D.' (OBTAIN FROM. PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ---Addition ---..Alteration~pair _Install <br /> <br />_Sign <br /> <br />--"<>ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Fsaily <br /> <br />---.Jt/F <br /> <br />_' of Units ---.Jt/B <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: J N .~'-A.LL \JJ I tV D 0 w..s (u.5 c~) I tJ E" X I <T I tV (; .5 C Ref:,J R () o!.") <br />- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />A'lTACH (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 />~UILDING <br /> <br />$ <br /> <br />.-- <br />(351;) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />V.R.E.C. <br /> <br />---.JIEalANICAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />_PLtDlBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FraIIe _Steel <br /> <br />Other <br /> <br />FIIIISIIBD FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACIOR SECIION <br /> <br />RIJTT.DRR <br /> <br />COHPANY <br />r ~ r, State Cert. or Regist. . <br />j ~-' ~.'. City License Registration . <br />**** ************************************ <br /> <br />Signature <br /> <br />RT .RC'l'RTCIAII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SionJlture <br /> <br />PLIDIBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />tlECllANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLlCAITON APPROVED BY <br /> <br />PERHIT OFFICER. <br />