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<br />APPLICATION FOR PEKKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAIIIl :;;~c:r~ <br /> <br />OWNER'S ADDRESS tlf/4- P!~A-<::;MT S'"7 <br />JOB ADDRESS t I c/ fe /)I87kA-/llr &; T <br /> <br />PHONE <br /> <br />7P:~- 5t/3P <br /> <br />2-h~ <br />z-l~ <br />SUBDIVISION &c:: / J'l)ti I4f I/- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERGIAL <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~GHAlO.CAL <br /> <br />$ ~ f/ (}?) . tJD <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED 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 />BUTIJ1ER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br /> <br /> <br />=IAR~ ~ .................::Pdii7l~ <br />S~ate Cert. or Regist. :f E!CcJc~d( ~ r;,;i? <br />_ _ _e Q.. C1ty License Registration t ')V <br />****************************************** <br /> <br />PLUMBER COKPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />KEGHANICAL~VC COIIPANY SJ(e: cJL- rJJg +C-I;? Mr<:{~ <br />State Cert. or Regist. . <br />Signature C City License Registration t I",s - '7 <br />****************************************** <br /> <br />OTRF.R COKPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PEKKIT OFFICER. <br />