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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />M-Vt, () Co <br />{PS-t2- (bALL8}0v~ <br />Sffl)\C <br /> <br />PHONE <br /> <br />i~t5 ~~~- IS-t>. L <br /> <br />OWNER'S RAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br />_Swia. Pool ~Other <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTIO. OF IiORK: 'l{epl'i <-L t. i<: sl , '" J CAr I>J 'U k. F Cl J .. P (,J! NeW <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br />_BUILDING $ 1000 ~ Valuation of Total Construction <br />~ELECl'RICAL 2.001 U5f- .AMP Serv'ice Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAIUCAL <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 />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 />RUTT.DER. <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />~.~GTRIGIAN COMPANY El4.sT- lJ,Je;)T fl-e,--+~'\ c.. J :LNL- <br />8tJ Y\ ~ State Cert. or Regist.' C'c:. 000 N<j,j <br />SilmAture ',;-y. j )"l~ City License Registration , /rk ~ <br />.......................................... . <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />Signature <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 , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />