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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />.' <br /> <br />OWBER'S ADDRESS <br /> <br />GLOl{'j~ <br />.5 k-M'I- <br />w- -#- , <br /> <br />~ <br />lliill O~ <br /> <br />PHONE ;g/] -793 >- '1D!5~ <br />R-t' Pa~k- IT- <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCIUPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' , (OBTAIN FROM PROPERTY TAX NOTICE) <br />IIllRK PROPOSED: v;;'ew CoostructiOll --....Addition ---..Alteration ______ir ~ta11 <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br />~e <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />Faaily <br /> <br />-'l/F <br /> <br />_, of Units <br /> <br />---1I/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_staurant ,. Rea1th Depar-.,t APPro/V~~ _ I , <br />DESCRIPTION OF WORK: 0C y- e.e., YJ F<.oo fY\ ~ :) <br />BUILDING SIZE: /Lx n I . 9 (p Square Feet. 1 I Height <br /> <br />- Dh)Y <br /> <br />RESIDERTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS 61 (2) SETS OF BUILDING PLANS 61 (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS 61 (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />$ <br /> <br />5'J~~ <br /> <br />PERH.ITS REOUESTED <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 />-lIEClWiICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLJJKBIRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISmUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />F1IIISI1EJ) n.ooR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />*********************************...****** <br /> <br /> <br />IUILDRR <br /> <br /> <br />L.' '\ <br />COHPANY r..J <br />State Cert. or Regist. , <br />City License Registration , <br />*.***.......***..****.***************.**** <br /> <br />Signature <br /> <br />m.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************.************************* <br /> <br />SignAture <br />-... <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />***************************************... <br /> <br />Signature <br /> <br />HECllABICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />***.********~***.***********.************. <br /> <br />Signature <br /> <br />p1'RRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />***********.*.*****....****.*.***.***.**** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY -.: . . . <br /> <br />PBRHIT OFFICER. <br />