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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />HER'S NAME First United Methodist Church of Zephyr~!, Inc. 782-5645 <br /> <br />OWNER'S ADDRESS ~Rn~~ ~~h_ Avp-. . 7,ephvrhills, Fl. <br /> <br />JOB ADDRESS <br /> <br />~i=IImA <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 11-26-21-0010-15000-0160 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construct.ion _Addition ---..Alteration ~..Jepair _Install <br /> <br />_Sign <br /> <br />---..Move <br /> <br />_Delio 1 ish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1t/ F <br /> <br />_' of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swiat Pool _Other <br /> <br />----lestaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Rp-rnnf <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <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 />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~CHAHlCAL <br /> <br />AKP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtJKBING <br /> <br />GAS <br /> <br />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 T <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SianRture <br /> <br />PLUMBER <br /> <br />COMPANY <br />Stace Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />k~-.--.._-q~.._--- ******************************************. <br /> <br />~ . COMP~vman Construct1on, Inc. <br />. . State Cert. or Regist. 'JU'"OOn 1 nilR <br />Signature . s;,;.... Prp"dr1en1; Gity License Registration' 6721 ~ 7~ <br />---- **************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFPICER. <br />