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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />'7 r S- - <~ I 3} . <br /> <br />OWNER'S NAKE ff ft//!/ ~e / F f( ~y <br />OWNER'S ADDRESS :3 'if? // e #I?ld~~ H-(/~ <br />S // /??E <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-L.New Construction ~Addition _Alteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: -4-Single Faaily _H/F _, of Units _H/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHHERCIAL : <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 />XBUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ /:J 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVATIONS: <br /> <br />Fl" . <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUlLDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ,.;/.( C" {J : ; 11-111.5- <br />4A"fl I J o///J", State Cert. or Regist. , <br />Zv{<.p LV ~ City License Registration' <br />.......................................... <br /> <br /> <br />COf'l5?;euJ:~ Z~ <br />o <br /> <br />Signature <br /> <br />RT.RCTRIC~ COMPANY <br />State Cert. or Regist. , <br />SiRnAture City License Registration * <br />.......................................... <br /> <br />PLUHBEll COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />MECHAlfiCAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />