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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME Otv--/ d ~e..C-e- <br />OWNER'S ADDRESS go 'b Vi S', 8 vt:- kie <br />JOB ADDRESS &, aD tL f,lve~ O-c/y <br />I~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.' ..5 -:26 -~/ - O/~o- 0 t!JLJ() 0 - Q/C(} <br /> <br />PHONE 1'S'2 --, '37- 271 B <br />'-:;"IN>'I-M-6S rt-. 32-hSD <br />lJ~~ 7 ~1';"f1,L -lIs I Pu" 31 ~'II <br />BLOCK / It SUBDIVISION ~11t/'I->1 {}~ls <br /> <br />~;i..f <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign --Hove _Deaolish <br />PROPOSED USE: .x.Single Faaily _KIF _, of Units _K/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: 5/~ h ~J CII~J.,,,,- JI..~ <br />BUILDING SIZE: ~x ~f>;2J 79 0 I Square Feet, e' e~t <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />XBUlLDING $ q II 000 - Valuation of Total Construction <br /> <br />KELECTRICAL 'ZOl> AKP Service X Florida Power Corp. <br />'y , $ 1-10fX) -" , , <br />..a...JIECBANlCAL ~ Valuation of Kechanical Installation I V <br /> <br />X-PLUKBING . X GAS X ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: X Block _Fraae _Steel Other <br /> <br />FINISHED FLOOR ELEVATIONS: 61 · FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />W.R.E.C. <br /> <br />G*r <br /> <br />YES <br /> <br />.x <br />NO <br /> <br />****************************************** <br /> <br />CONTRA;:::EGTI~il ~ ~~ 'f: L <br />BUILDER A4 I r..,.. l::; ~ <br /> <br />~ State Cert. or Regist. f 0 <br />Signature City License Registration , <br />~ ****************************************** <br /> <br /> <br />/ <br /> <br />F.T .RCTRICIAR COMPANY ~"'- Ii 1-eJ..r;" <br />:= ~ &. ~ _cr- _ State Cert. or Regist. . tillcOoz,?; <br />._-~~ ~ . 90^^ .~ City Liceose RellistraUon' <br />****************************************** <br /> <br /> <br />Signat <br /> <br />COMPANY & ~f r:/vMi I <br />~ j..~ /1" State Cert. or Regist.' PC' 2.- <br />~ City License Registration t <br />--' *****;;;;;;******************************* ~ <br />.. /4/ /)1/ If r;l,4 L ~~ <br />1./ () *'~~c:. COMPANY- 5:,. ',B.4'/e- /~.q.N ?~p/) _ ----(h <br />/Jt1< L '~_' )ttate Cert. or Regist. t ~-;;;t,fJ'7Y <br />~ t/i:i:. _-{...._ -- City License Registration' ~/i <br />******** ********************************* <br /> <br /> <br />v <br /> <br />PLUKBER <br /> <br /> <br />I~~ <br /> <br />Signatur~ <br /> <br />- /ffiii,i:\, (/ f1 PH 1-5 <br />~et* <br /> <br /> <br />COMPANY IJ-/ /lc~t~~ o({ <br />State Cert. or Regist.' JtC oObl"l~S" 'f-.-.. <br />City License Registration t ~ ~!1- ~ <br />******************************************: ",c '~ <br /> <br />PERMIT OFFICER. <br />