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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />Kn__~N.~:s. ~\LI.... <br /> <br />~Q..~ ~'" v\.t;..) <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />~3, t ~ - <is--- ~ ~7' ' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration ~Repair _Install <br /> _Sign. _Kove _Deaolish <br /> . <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> ...6c<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: G,-~~~" co .1\'- <br /> <br />l o.)~\oll...\.....J... ~~\~tV <br /> <br />(i:.t8rJ ov It!' it> rv s J <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 />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />....'2s.-ELECTRICAL <br /> <br />1-..<;.J C) AKP Service <br /> <br />y:. Florida Power Corp. <br />, <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRAC'l'OR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />:.~ ~ COIIPANY z.~'A,,-~,\ ~'-""''\._ "B"v, <br />State Cert. or Regis t.' C) () ~ A leg r <br />City License Registration' 9t~ <br />~-. ....................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />.......................................... <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />