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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />l(~b <br />q~ l " & <br /> <br />"" \ <br />0- <br /> <br />. <br /> <br /> <br />OWNER'S N~f.oJelM.)Ju <br />OWNER'S ADDRESS , , <br />JOB ADDRESS rz 4 ~9) &au J)(ucQ . <br /> <br />BHONE <br /> <br />LEGAL DESCRIPTION: WT(S) BWCR <br />PARCEL I.D.' 35~ 59' OD / ~g{)()OOO{) <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---..Alteration _Repair _Install <br /> ~ign ----1Iove _DeJIOlish <br />PROPOSED USE: _Single Feaily ----11/ F _' of Units _M/H <br />.. /eo.aerCial _Indust. _Swia. Pool _Other <br /> <br />____Restaurant & Health Departaent Approval <br /> <br />DESCRII'UOR OF lIORK:J!huALshllj ~fYkW f1i~ 1 cuM .Bi~ <br />a'l- ' "6?t Ut ~ <br />BUILDING SIZE: X, Square F~, Height ~ <br /> <br />~, <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT 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 />,J" <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELEC'I1UGAL <br /> <br />AtlP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____HECIIAlO.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OORSTRUCIION: ____Block ____Freae ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />..............*.*.*.*.**..........**...... <br /> <br />Signature <br /> <br />:'>~( 0 <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />SiRll8.ture <br /> <br />J~ <br /> <br />PLmmp. <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />............*...*......................... <br /> <br />Signature <br /> <br />HEGBANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />COMPANy'D'l ~\'e ~(@()S I()c. <br />State Cert. or Regist. ,ESOODO(J7 ~ <br />City License Registration , -3 ~ <br />.................................... <br /> <br />v/ <br /> <br />Signature <br /> <br />PERMIT OFFICER. <br />