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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />PHONE <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ----..A1teration ~epair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--.JI/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION 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 PLARS & (2) SETS OF BUILDING PLARS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLARS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEG'fRICAL <br /> <br />.AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~GllANICAL <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 /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT .DER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RI.RG'fRICIAN COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />...........~.............................. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration I <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />