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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER 'S NAKE <br /> <br />~~t:hv J I-!~ fl-i 2- A-,..n~ <br />(/. (),'6of..-. .:l d.-'fS OAdE t/!; <br />! <br />76 'f"s- 6--/l.IVE~ S:-~~.z:' d~r '2 -4,/'->- <br />SUBDIVISION Go ,c..4"v' fI,~z..o~:2s.. <br /> <br />PHONE 3 s- 2.. - S 2..3 - / 7 ( ( <br /> <br />OWNER I S ADDRESS <br /> <br />? 75:' 2.fP <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) S9 BLOCK <br />PARCEL I.D.' 3'1- Z 5"'- 2./-0 % - 0/:5 <:> 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction rAddition _Alteration _Repair _Install <br /> _Sign --.nove _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units >C-M/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: C -4"~ ,z.7 - 217: J, T7 Qo 0 ~ - ~ ~U{L/ fZJII,;L - G tJ C/l;~ <br />{ <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 />PERKITS REOUESTED <br /> <br />~LDING <br /> <br />$ <br /> <br />./f S-OO I <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECBAIUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS ROOFING <br /> <br />SPECIALTY <br />R Lv IV\..- Other <br /> <br />TYPE OF COBSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA 'I <br /> <br />****************************************** <br /> <br />Bml..DER <br /> <br />CONTRAC'l'OR SECTION <br /> <br />Q ~ CllIlPAIIY Iff'*!' Ib<r'A.IDA. <br />/, . ./ State Cert. or Regist. . <br />.. . 6it:y License Registration' <br />, ****************************************** <br /> <br /> <br />Signature <br /> <br />Rl~CTRICIAN <br /> <br />Sf QlUlture <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />.. <br /> <br />KECBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OfFICEB,. <br />