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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWIlER'S _ cKeJlif ~f-'\Nl W~ <br />OWNER'S ADDRESS CO 5 ~ \ g~ ~t..d- \ <br />JOB ADDRESS ~ <br /> <br />?-IO-7~ <br /> <br />PHONE <br /> <br />7 g J. - / S3.5 -- <br /> <br />LEGAL DESCRIPTION: I.OT(S) BI.OGK...--SUBDIVISION <br />PARCEL I.D.' \\ -doll ~~ ''''0010 - l(g"10o- 0 II U (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ddition ~teration -3epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />V- ec-ercial <br /> <br />_KIF _' of Units -.-KIB <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Bealth Departaent Approval <br />DESCRIPTION OF WORK: ~A.-~ ~ilie:.. / L~bAl U.6')<g\~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Beight <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ J 0 J 8 Oc.{. Db <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C, <br /> <br />---.JIECBANIGAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIIUSBED FLOOR ELEVATIONS: <br /> <br />yr,.. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ I <br /> <br />YES <br /> <br />NO <br /> <br />..............................****.******* <br /> <br />BIJTI.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COHPAHY 7/'MA/S..A~ <br />State Cert. or Regis t.' f!.iS ()I) >tS~ tI <br />City License Registration' 77 <br /> <br />**************:::::::~:;~*~~ <br /> <br />State Cert. or Regist. . J!llbO/(,Zl-f <br />City License Registration' Z C. 9 <br />****************************************** I <br /> <br />Signature <br /> <br />::~:IAB:(J/l: <br /> <br />PLUKBER GOKPANY 811kE/Z- 's r>/I#-t9r ~ <br />-UA~/J/I '.A j JI2 J State Cert. or Regist. , <br />Signature -Jqa/Y-u'l q f ~ City License Registration .. f!1. <br />****************************************** ' <br /> <br />MECHANICAL <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*********.***************.**********.***** <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**.*************************************** <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />