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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br /><(i6 <br /> <br />. 0 ~91 <br />7-f <br /> <br />OWNER'S NAKE C___halA..~~ <br />OWNER'S ADDRESS L, i- () -=t- "-.) <br />JOB ADDRESS Srirr..p_ <br />LEGAL DESCRIP'l'ION: LOT(S)-.:) <br /> <br />PHONE <br /> <br />L d 'Le \) f . <br /> <br />~~.~ Gk.r, ~ <br />BLOCK SUBDIVISION Si \ve<' L'd jLe.... <br /> <br />PARCEL I.D.' 03 -:;l.lp - Z. ( - 0 lSo - 00000 - 00<(0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-X-New Construction _Addition ---.Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units ~H/H <br />_Swia. Pool XOther ~ <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Restaurant &: Health DeparUlent Approval <br /> <br />DESCRIPTION OF WORK: C~-* O-Q.~. ~ ~. ~ ...L4C. <br />~p~ <br />BUILDING SIZE: 3/' X 33', / 02 ~ 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 />PERKITS REOUESTED <br /> <br />LBUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~GBAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />A-lu.rYl · <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVATIONS: <br /> <br />Fl' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..................................**..**** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTIJ)ER <br /> <br />~ V ~ COMPANY <br />. . State Cert. or Regist. . -P~D~-=t-4'-t3 <br />-- Hr'". C"O.......~(.Ac.-fi 0<\ City License Registration' 14--:rz.. <br />**..*...*.***************.*.*.************ <br /> <br />Signature <br /> <br />RJ.RCTRTGIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.*.*..*.*.*..*.**********....*.*********** <br /> <br />SiRQAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*...*....*.*..****..****.***..************ <br /> <br />Signature <br /> <br />KEGBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />.*..*..**.*..***********.*.*.*..********.* <br /> <br />Signature <br /> <br />OTRRR <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 />