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<br />." <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRBILLS <br />BUILDUIG DEPARTKENT <br /> <br />tlut-~ ~~\l~"~ <br />..5111 (0 \l\ ~~ <br />~~ <br /> <br />PHONE <br />" ~O~l\ItJ.._~ <br /> <br />162.- 7EJ;:J3 <br /> <br />OWNER'S NAHK <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCIt.--SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ----..Addition ~teration ~epair _Instal.! <br /> <br />_Sign <br /> <br />~ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--Yt/F <br /> <br />_' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />~-~ ~ ~~~~l. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (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 />_BUILDING <br /> <br />PERMITS REOUESTED <br />2. CJ~ lI,.<:::s::::::. Valuation of Total Construction <br />, <br /> <br />$ <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />----1lEClWfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />~::~ <br /> <br /> <br />COKPAHY <br />State Cert. or Regist. <br />City License Registrati <br />. .................................... .. <br /> <br />.............. <br /> <br />BlfTl.DER <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPAHY <br />State Cert. or Regist. <br />City License Registr on <br />................................... ..... <br /> <br />Signature <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist <br />Signature City License Regis tio <br />.............................. ....... <br /> <br />OTHER ~ COMPANY <br />/. \ State Cert. or Regist. . <br />Signature l_ .._ 1 --- City License Registration' <br />.. ~~l~..~............................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />