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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />'7J? F " 0; ,,'rD <br />9_/1-fb <br /> <br />lv. II ,~ (:f1 (J... ~ 0..Jwj( PHONE 7 'l>l., 31'JJ <br />lC3 -z.,S~ F~~. z.-,1'~~t"II~/ 1'J,v- L 33 J'fJ <br />JOB ADDRESS ...sl d~- 5l1j.11\M~i(. J.l;JIl [}vlJ- 'b 1't,~hl1.J / ~iI',k b~ .)'1'0 <br />LEGAL DESGRIPl'ION: LOT(S) I, BLOCK SUBDIVISION ,(~"'l. J.J~-II <br />PARCEL 1.D.' )7... - ~ - 2/" b/()o.- OOOl'() - ~/7 () (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction _Addition -.Alteration _Repair _Install <br /> <br />OWNER · S NAKE <br /> <br />OWNER'S ADDRESS <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~iogle Faaily <br /> <br />_Nove <br /> <br />_Deaolish <br /> <br />_KIF _' of Units _K/H <br /> <br />_~ercia1 <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESGRIPl'ION OF WORK: Sj~h- f!~', CY'~I-~ /fw-.- <br />C-6 SO "1 ??:j c:Jl t7, (Jlv'k L..~ <br />BUILDING SIZE: ...:> I X ,vv Square Feet,' Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COKKERGIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />KBUILDING <br />~LEGTRICAL <br /> <br />$ <br /> <br />....,.... <br />70, OiJo <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />XMEGIWf.(CAL <br />J(PLlJKB~NG . <br /> <br />/ So MIP Service <br />--- <br />J.qoo <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br />,X ROOFING SPECIALTY <br /> <br />GAS <br />TYPE OF CONSTRUGTION: XBlOCIt _Fraae _Steel <br />FIliISHED FLOOR ELEVATIONS: f3' FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />Other <br /> <br />YES <br /> <br />X <br />NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />COMPANY <br />1/ A./ State Cert. or Regist. , <br />'1Ii~'{.'Y'- City License Registration , <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELEGTRICIAH COMPANY J- ~U;t.. <br />...:::: u 1\ .P ...a....- State Cert. or Regist.' /L6i>:J 2 <br />~ .- .."- '''' ~ ~ City License Registration . <br />****************************************** <br /> <br /> <br />!f11t-r,u J~()'-O <br /> <br />PLmtBER <br />Signature X <br /> <br /> <br />COIlPANY ~....., j 11*"7"1-.;;;' <br />State Cert. or Regist. , j#C- 0'1 z.Cj'j '6 '0 <br />City License Registration t ,,) <br />****************************************** . <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY n.., I fJ-k~ , ~. <br />State Cert. or Regist.'f /lc. boIP 1'17..5' <br />City License Registration' e~ <br />* **************************************** <br /> <br />OTRF.~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />