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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT ~ <br /> <br />OIlIIER · S NAHIl L €.on r'!1JIe. r PHONE '7 'l J.. - d.. ';)..7 re <br />OWNER'S ADDRESS iltJOO NJ1JrrorT ~ Sf.00Ans /VIle/' ~ If ~'l79 <br />JOB ADDRESS ;ZACKs ()AK..~;d~ r11~j,f1Ie Ifo~ R4.r/...- 6(3<1 ttJ~fe. , <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION As4C;./CS o~/JU;d <br /> <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED~New Construction _Addition ----..Alteration _Repair _Install <br /> _Sign -'love _Deaolish vC <br />PROPOSED USE: ~ngle Famiiy _H/F _' of Units <br /> _eo..ercial _Indust. _SwiIB. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK:--'!1oh;{e W<11'1e. :ie-f-up <br /> <br />BUILDING SIZE: ~K" x:52. 1~t'Square F~et~~eight <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br />~ELECTRICAL <br />~CllAllICAL <br /> <br />$ <br /> <br />cfl3 ~f.? <br />~ <br /> <br />Valuation of Total Construction <br />v"'piorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />/57 AMP Service <br />. <br /> <br />?t:nJ <br /> <br />Valuation of Hechanical Installation <br /> <br />~PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDIlSBED 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 />BUn.DER <br />j~ <br />Signatur~"'L tU <br /> <br />COHPANY/"'~ ~?/'~~~ ". <br /> <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br /> <br />~ <br /> <br />.:2~? <br /> <br />RT.'RCTRICIAN" f COMPANY t? - t</, S;;; cLtiM.- ~.-<... ' <br />s~':~::&'~C./~y~ ~~~eL~:;"'O~e~:~~i:'" /W) <br /> <br />~_u *******~********************************* <br /> <br />PLUMBER ~4 COMPANY A/~t1A.1 ,L~ <br />~. ~ State Cert. or Regist. . <br />Signature <f' ~-'~ City License Registration f 1J.-l} ry <br />~ **************************************** <br /> <br />MECHANICAL r' " ~ COMPANY 3/VZf ~fiU~ ~ ~~ <br />-d/ /' J i~' r21 . State Cert. or Regist. f <br />Sigoatur<<UWUI DlUt' ~ 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 />