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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />8/1 h b I.' ft5 <br />') '( / /? Vv;'/1 te/ /)y-; <br /> <br />PHONE / r? -/,0 ff 3 <br />te'f'4r4;,/ri pL J 55<'( / <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition --Alteration -..:Repair .,k-Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: j ~ ,t; f",. If jJ H r)., "'7C! / /1;'/(0 '7/ ~/fh E/~T f:I(?,y t <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ "J-, I (J /) <br />I <br />~r? AKP Service Florida Power Corp. <br />$ i;( ~!; I, 5?~ Valuation of _leal IDstallation <br />J GAS ROOFING SPECIALTY <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />x:= <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br />- . <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration I <br /> <br />.................:::::::~~.;:~.~~<: <br /> <br />State Cert. or Regist. f lCJl., 0 t ll2 ~ <br />City License Registration' ~, <br />****************************************** <br /> <br />Signature <br /> <br /> <br />:::~~ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration . <br />****************************************** <br /> <br />~ COMPANY I />(;'7/li.d" <br /> <br />\. \ State Cert. or Regist. , ('0 <br />1 ~~ j City License Registration . <br />********* ************************** <br /> <br />Signature <br /> <br />,. <br /> <br />MECHANICAL /- <br />I <br /> <br /> <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER, <br />