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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ,) ('nj)19 <br />OWNER'S ADDRESS ..:x:PO..'\-/ <br /> <br />~ L/~e A:: <br />/~ -G- #1/7: <br /> <br />PHONE j 7 7 / - cJ '} c;I / <br />. <br /> <br />:2: zrtj7/-r~///...r 1,7 <br /> <br />JOB ADDRESS <br /> <br />'\. \ ~ 1_ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Si~leF~ily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square F~et. <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ IQcro. 07~ <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 />-"ECIIAHlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr~e _Steel <br /> <br />Other <br /> <br />FDiISHED 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 />BUILDER ~1 .' COMPANY <br />/ <> /C.d' :J State Cert. or Regist. f <br />Signatur ~\...'--;r ~~~./ City License Registration f <br />?/ ****************************************** <br /> <br />F.T.R.CTRIClAH COMPANY (\ A 1 ~ <br />State C~. or Regist. f <br />icense Registration f <br />********************************* <br /> <br /> <br />CJD <br />Dc? <br /> <br />v <br /> <br />,?U <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />************~***************************** <br /> <br />OTIIF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER, <br />