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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 I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ---Addition ----^Iteration -liepair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />.PROPOSED USE: _Single F8IIily <br /> <br />_KIF <br /> <br />_' of Units _K/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 PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />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 /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-'lECBAlllCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />Y1' . <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..............******.***.*..*..***.*.****. <br /> <br />BUIlJlER. <br /> <br />CONTRActOR SECTION <br /> <br />COKPANY /)JA1f~~ (.,J~/.~ t'l--.ru-r7"" ~ <br />~ L ...; State Cert. or Regist. . C G C. Ot'?~ Z. '3!J <br />y~ City License Registration . /7/ '3 <br />....*..........................*.......... <br /> <br />Signature <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY ,Ed tv /, /1- her J5/~ _ Cot'! ;f. <br />c::) ~ State Cert. or Regist.' &lC60/~Y'f'- <br />City License Registration . / 7 z-P- <br />.......................................... <br /> <br />S1 orulI ture <br /> <br />Signature <br /> <br />T<~/ <br /> <br />, <br /> <br />COMPANY 1?::r ;':1t=L~ 'H..!A-""~'^5 .::J:~. <br />/ /J "r;---- State Cert. or Regist. . ~ r {I-d2a .l.I2- <br />(-V/L-----..... City License Registration' /7f - C reo _ <br />....**.................................... <br /> <br />2o~t./- 2- <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Signature f~~ /J/ddJ <br /> <br />COMPANY <br />State Cert. or Reg <br />City License Regis ation' <br />.......................................... <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />...*.............*..*..**................. <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />