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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME \( l \1. \ ClII\ <br /> <br />\NOl \ \ er i 0 V\ <br />L o.n5' J <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS 3 8 ~ J... (, <br /> <br />Ave. . <br /> <br />7 t". phfrk; \ \~ <br /> <br />JOB ADDRESS <br /> <br />It <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL L D,' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />_KIF <br /> <br />_, of Units _K/H <br /> <br />_CoI8ercial <br /> <br />_Indust, <br /> <br />_Swia, Pool _Other <br /> <br />_Restaurant Ii: Health Department Approval <br /> <br />DESCRIPTION OF WORK: c,\ <br /> <br />root <br /> <br />o..Je.Y <br /> <br />and <br /> <br />1'0 )( to <br /> <br />..)h~~ . <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERCIAL <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, <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 />AMP Service <br /> <br />Florida Power Corp, <br /> <br />W,R,E.C, <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVA,~: <br /> <br />FT, <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />BUILDER i/ J CONTRA::;nON <br /> <br />~ \ State Cert, or Regist, , <br />Signatur 9-A--- II ----- City License Registration' <br />, .......................................... <br /> <br />ELECTRICIAN COMPANY <br />State Cert, or Regist, , <br />Sian3ture City License Registration t <br />.......................................... <br /> <br />PLUKBER COMPANY <br />State Cert, or Regist, t <br />Signature City License Registration , <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist, # <br />Signature City License Registration , <br />............~............................. <br /> <br />OTRRR COMPANY <br />State Cert, or Regist, f <br />Signature City License Registration f <br />............................*............. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />