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<br />, .... .... <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />J~~ ~~k' <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />:,~10.b <br /> <br />~" '~,!~ <br /> <br />~~r <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPl'ION OF WORK: <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 FORKS. <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 />_KECHAliICA.L <br />~~NG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />:::IAII ~ =~rt. or Regist. . <br /> <br />e V-- City License Registration' <br />.......................................... <br /> <br />Signature <br /> <br />COMPANY ~()N't'~ {(VU(h/~ <br />State Cert. or Regist. t <br />City License Registration' ~~5 <br />.......................................... <br /> <br />PLUKBER <br /> <br />KECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />...........~.............................. <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />...............****..****..*.**.********.* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />