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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />3 J 5 S'13 - I> Lt (I )" <br />''OJ3- r ;;9'- ~/?3 7 <br /> <br />OWNER'S NAME <br /> <br />r=-~f'C) M~ L) \ \ ~-{ c <br />'37/ - L)LI~.J- h lkl-1 N,Y.. <br />~8'6?,~ - --:5~ ~ <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />I ~(") b OJ .... <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration LRepair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />LM/F <br /> <br />-.l.. of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: '("l: VV\c;Vt. LJ c., J/ hOC'l","J + 'r"C./Yl <(.k.lj , '1. ( .h r.' J 8Ji IJ r,( t.J ~'fi;J\,d-~(ck <br />5 "'OT"C.._ "3huc. TC b-encC\..f\. <br />~ BUILDING SIZE: X Square Feet. Height (lei..,) Kd-c I.e..... c.cJoI"ch <br />V\t".J 0 \ "';.'1) ~~ <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) S~EN~GY FOlkS. <br />COMMERCIAL 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 />)S~cro <br />I <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />. <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-KECHANIGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS ROOFING SPECIALTY <br />Block LFraae _Steel Other <br />-5c/' FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />FI1IISHED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />/. <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />BUTIJ)ER. ~~ ~ COMPANY <br />. / ,/.. State Cert. or Regist. , <br />Signature . ~ City License Registration . <br />*********** ****************************** I <br /> <br />RT.RCTRICIAH .-// COMPANY j/Vjf)~P/ t /tt!!/iC <br />.,n, Rbi U/". State Cert. or Regist.' . <br />U Z. City License Registration' Z 1..,-Z./ <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />***********~****************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />