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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />9J-~~ - 7" 8:3 <br />~/~/crr <br /> <br />OWNER'S NAME <br /> <br />g~ <br /> <br />/ <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />Ie 513 <br /> <br />~~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: I.OT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~~ oJw <br /> <br />PARCEL I.D.' <br /> <br />03 - oHo -oU <br /> <br />01;10 - OO(1)tJ - 0 7~OBTAIN FROM PROPERTY TAX NOTICE) <br />~ddition ____Alteration ____Repair ____Install <br /> <br />WORK PROPOSED:_New Construction <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br /> <br />~ngle FaallY <br /> <br />____Kove <br /> <br />____Dellolish <br /> <br />____KIF <br /> <br />_, of Units <br /> <br />_K/8 <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~ 0 DK) ~ <br /> <br />BUILDING SIZE: .I ~I xli, D Square Feet, 1'1~ Height <br /> <br />RESIDENTIAL: A'n'ACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) 'SET ENERGY FORMS. <br />COMMERCIAL: A'n'ACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />$ <br /> <br />9 d-'~ 0 <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-llECIIARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~UflBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PIRISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br /> <br />?7/Y-:q' <br />/ <br /> <br />:;.. <br />.,! <br />""' <br />:':~ <br /> <br />Signature <br /> <br />F.1.RCTRICIAN COMPANY <br />State Cert. or Regist. # <br />SiRnAture City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />Stat,,! Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />KECBARlCAL COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />OTIIRR COMPANY <br />Sta; ," Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERMIT OFFICER. <br />