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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />Nk <br /><),-<1 <br />I~/tr <br /> <br />----=- 10 <br />OWNER' S NAKE .~ G\\'Y'\e ~ tJ 0 bb, <br /> <br />OIlNER'S ADIJ1lIlSS ~ <br />JOB ADDRESS j' - )-ylli1l1)U) l2.v <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PHONE ~?/ 1-- ? g 3 -- <g5~3 <br />t'<1"bJ:t (51,Q5iJ <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ Construction _Addition --Alteration _Repair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br />~le <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />Faaily <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_eo.tercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Aijroval I <br /> <br />DESCRIPTION OF WORK: ,S'cV'ee1f\ ~(Y) Lj)C1/ b . ( wt/~'JjYlJ <br />'? r.;? -')? '1 ?l ,/ - <br />BUILDING SIZE: ,:J () x-!L.. ~tJ'I Square Feet. () Height <br /> <br />~ <br /> <br />c~ <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 />, <br /> <br /> <br />~IDIHC <br /> <br />$ <br /> <br />_,,0 <br />JCfd-? --- <br /> <br />PERMITS REOUESTED <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 />_MECllAMlCAL <br />_PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**************************** <br /> <br />r-~ <br /> <br />ttI <br /> <br /> <br />BUTI.DER <br /> <br />F.T.RCTRICIAH <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />SiQIIAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />***********~****************************** <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPUCATIOR APPROVED B~ ~ <br /> <br />PERMIT OFFICER. <br />