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<br />. " <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME <br /> <br />PHONE <br /> <br />OWNER' S ADDRESS <br />JOB ADDRESS...:}q D 5 Cv~a.S t"~ S+ . <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICB) <br /> <br />WORK PROPOSED:_New Construction _Addition ---..Alteration -..Repair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USB: _Single Faaily <br /> <br />_K/F <br /> <br />_' of Units _K/B <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: (\r\C'\{\~l"*~ ~'("lut!.4 6lo....\:, <br /> <br />BUILDlHG SIZE: X Square Feet. Beight <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FOBMS. <br />ATTACH (3) SBTS OF BUILDlHG PLANS &: (1) SBT BNERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDlHG <br /> <br />PERMITS REOUESTED <br /> <br />c:f:) <br />$ 500 ~ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---lIBClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBDlG GAS ROOFING <br /> <br />SPBCIALTY <br /> <br />FDIISBED FI.OOR ELEVAnOBS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZOBE AREA? <br /> <br /> <br />TYPB OF CORSTRUCTIOB: _Block _Fraae _Steel <br /> <br />Other <br /> <br />.......................................... <br /> <br />YES HO <br /> <br />CONTRACTOR SBCTION <br />BIITI.DRR COIfPAIIY~ {'{\~nn..t +-f l"M.....n-t \ nL . <br />... <br />St:ate Cert. or Regist. t <br />Signature ~0 ':{1H J...., . City License Registration t 61{' <br />.......................................... <br /> <br /> <br />RT RCTRICIAN <br /> <br />COMPANY <br />St:ate Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />SiDnAture <br /> <br />PI.IJMaER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br /> <br />KECllANTGAL <br /> <br />COtIPANY <br />St:ate Cert. or Regist. t <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />j. <br /> <br /> <br />OTRRR <br /> <br />COKPANY <br />St:ate Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br /> <br />Signature <br /> <br />i'.i.::j-.; <br /> <br />APPLlCAnON APPROVED BY <br /> <br />PBBHIT OFFICER. <br />