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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHR !J{YfI/IZO /J IJc:-t(C/J14~ r::)1I'. PHONE? 1:1-2) JX1 <br />OWNER'S ADDRESS ,59? / 5 /llE/f-Qr;a/~D.f) ~tJ~ Z-c-P/~V~J.l-IL~~ l~ <br /><5"'~~E <br /> <br />LEGAL DESCRIPTION: LOT(S) lr7 <br />PARCEL 1.D.' J3 cZ' d-J ()/L/D ~ ()~~() <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION /l1t:5'7a:uJt:e.JiJ 6/7ITeS <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction ____Addition ----^lteration ____Repair ____Install <br /> <br />____Sign <br /> <br />----",ove <br /> <br />->>e.olish <br /> <br />PROPOSED USE: -Xs ingle F~ily <br /> <br />____M/F <br /> <br />____, of Units ____M/H <br /> <br />_eo..ercial <br /> <br />_lndust. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant Ii Health Department Approval <br /> <br />DESCRIPTION OF WORK: BA&F OV17 ?X I D PJ~"tI- ~IJ //11 &C~ YIl/lP <br />I <br />BUILDING SIZE: ~ / X } 0 ,., Square Feet, Height <br /> <br />RESIDENTIAL: <br />COI1M.ERCIAL <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQU~RED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$3CYJ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTIUCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"EGllARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fr-e x-'Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUILDER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration' <br />************************************....** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />***.*..*...*.............................. <br />, <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />**..............*......................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.............**.**.*******.**.*.**....***. <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.....*****************.**********........* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />