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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME \0 W ~ Cen t fii?r C2.o YY'I fR" 1 <br />OWNER'S ADDRESS 7zf-S-2- J~8~ eolA_+ <br />C~ tf bfv~ <br /> <br />PHONE <br /> <br />5)3 - 2~Z 27cXJ <br />CJ/Jf'o 4523. <br /> <br />c.. J'n r "1"171 e;.+ " <br /> <br />JOB ADDRESS <br /> <br /><;CJ z,~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />---1f.-Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />\ n ~+o. d <br /> <br />-+cJO <br /> <br />~ X \2-- b....-\&,~ <<S'g..s? <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQQIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />,$ <br /> <br />~/M'Oo <br />. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHARlCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br />.....~ <br /> <br />YES <br /> <br />NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJII.DER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />F.I.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br />\ <br /> <br />Siana.ture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHER ill <br /> <br />Signature ~ l, . <br /> <br />COMPANY \---k YI ~t.> ..... <3 1~ ~ j <br />State Cert. or Regist. <br />City License Registration # <br />****************************************** <br /> <br />~ec.-- <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />