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<br />" - <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE L,~~ ~ <br />OWNER'S ADDRESS S/ 7'" ::L <br /> <br />~iU7 G~lll/ <br />/ ::5l'"L 5 r <br /> <br />PHONE yg-2- ~ <br /> <br />JOB ADDRESS <br /> <br />7' a~-< <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL I.D.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ,.....k'-Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_D~olish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_CoI8ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant Ii Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />~r <br /> <br />rlgj- ~~C~ <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 Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ /C>lVCJ..~ <br />- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECBAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <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? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />SianSllture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State 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 t <br />*************~**************************** <br /> <br />OTRF.R ~ COMPANY 8, ~ay...., c~ 1'~ r ~/(' <br />~ <::;- State Cert. or RegrSt., err- o/~ ~90 <br />Signatur~ -?- ~ ~---,---. City License Registration 41 <br />. ****************************************** <br /> <br />~ <br />APPLICATION,APPROVED BY <br /> <br />PERMIT OFFICER. <br />