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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHB /le-fi; If j;f(~ PHON1i 7?~fLa /3 <br />OWNER'S ADDIIBSS' . ~). '. ;;(e/-!pA/~' .. .::<:3501 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I. D. t / '/- d. 6 - d-- / - <br /> <br />;j <br /> <br />BLOCK SUBDIVISION <br />/ J'"i p~ It) (OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:4New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: -A-single Faaily <br /> <br />_H/F <br /> <br />_t of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORKJ:-i.1L~ ~ 1 Sh--J.A 6 h C, e rl1 e. YI + F/ a t y- <br />BUILDING SIZE: ) () x J'f: Square Feet. t;? / 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 />VBUlLDING <br /> <br />PERHITS REOUESTED <br />$ 5 Sl(. CJ (~ Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_MECHANICAl. <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />******************************** <br /> <br />RlRCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiQDAture City License Registration , <br />****************************************** <br /> <br />PLtJHBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />