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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S NAME C ~ Yl , .~ <br />OWNER'S ADDRESS c.;~ ~I'I <br />JOB ADDRESS S fJ-.-,1 e <br /> <br />J)QM1t- <br />/ 7 ; ~ ~1- <br /> <br />PHONE <br /> <br />2 1" 'J 1-5 <br /> <br />,3. i ~)'-IO <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK. SUBDIVISION <br />,~~ Iq-,;l,G. ~.2I-CO/:!J -Q,;JJoo -QNO (OI\:l'AIII FlIOlI ~PERTY TAX IIOTICIl) <br />WllRIi PROPOSm :--Jew Coostruction -...Addition -...N-teration _....ir 4Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FUlily <br /> <br />_HIF <br /> <br />-' of Units _HIH <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br />DESCRIPTION OP WORK: r?A,q.1"'I t-,...,A 1~€YJc< <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 FORKS. <br />ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUlLDING <br /> <br /><::v <br />>it~ <br /> <br />PERMITS REOUESTEl2 <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 />-HECHAlUCAL <br /> <br />$. <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Frale _Steel <br /> <br />Other <br /> <br />FDUSHED FLOoR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUlLDRR <br />Signature)< () / <br /> <br />CONTRAC'l'OR SECTIO~ <br />} <br />COMPANY/\: & W1 of" Pl c..ul/l e y <br />U~ State Cert. or Regist. , <br />(Jt City License Registration' <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SiRIIAture <br /> <br />PLIJMB~ <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />tlECHAl(ICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration , <br />****************************************** <br /> <br />01"llQ <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />