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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME {~ ! Ii-? e..... <br />OWNER'S ADDRESS '-1630 v-; , '? Ie YO, y:L <br />JOB ADDRESS t-I h3 () Wi' :::; t~Y' "y:}- <br /> <br />Ae1r/~ <br /> <br />PHONE 7lf3 - h I IFb <br /> <br />Or <br />iJv <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br /> _Sign _Move _DeJIOlish <br />PROPOSED USE: ~ogle Faaily _KIF _, of Units _M/H <br /> _eo..ercial _Indust. _SwiIB. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: ~/ ~ <br /> <br />GeL/I)/} t&/'~~.p (9u t <br /> <br />~6- fd-" <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COKKERCIAL <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 />Y MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ ,J." 'it/9t' ;J~ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJEC1' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRAC1'OR SECTION <br /> <br />BITTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />~ tih ~~ COIIPANY lIe?1r! /Ja..e z: <br />,c_'. State Cert. or Regist. # <br />- !: . ~ (J __ City License Registration . <br />.......................................... <br /> <br />EIeC.?/; <br />,/ ,\- .::L <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />........................................*. <br /> <br />Signature <br /> <br />MECHANICAL COMPANY A tJ(i ---11 ! e..r fR~' ) b-~'C/l-'t 3 <br />~/14 / ~ / / State Cert. or Regist. t q- -/ ( <br />Signature U/i ~..c.- City License Registration' /bl~ <br />Z1 .*.*..*......*.*.***.*.*****...*.*..***.** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />......*....*....*..*.**......***.*..*.**.* <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />