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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE (91:/3 Itrl-RT Ct:JyvJ~i <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS --38'7 J ;z, <br /> <br />Eva 7' N A tV <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) Z. BLOCK SUBDIVISION <br />PARCEL I.D.' 6;')/ ;;"~/,;;J.~/(XJ/Ot/OOJO ~/ OCJOO (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~w Construction _Addition ----1U.teration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: L..------siogle Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />flAtI //? / /t./ u//? .pOc.7 L <br />X ~br Square Feet, <br /> <br />c;veL OS'q p~ <br />8' Height <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL : <br />COMMERCIAL <br /> <br />ATl'ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATl'ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />V;UILDING <br /> <br />$ <br /> <br />~J--n ~ <br /> <br />Valuation of Total Construction <br /> <br />~LECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />SPECIALTY <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 />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY 5re-Plfc:.~.s ~<....c./ D:) $J 1Jt--u;n <br />State Cert. or Regist. . <br />City License Registration' /517 <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SillDAture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />- <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />