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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />0:N\ C;OSS <br />OIillEB.'S AIlOIlESs J,-g-35" ~~ <br />JOB ADDRESS ~e..e L "'\1\ e.. V: l( "J.(L <br />BLOCK <br /> <br />OWNER · S NAME <br /> <br />PHONE'??;;2. - ~ ~ 7 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br />~e <br /> <br />_Kove <br /> <br />(OBTADI FROII PROPIlI\TY ~C~) <br /> <br />--...Alteration -.lt~..ifr I ~ ~ns~~~ + <br />_Deaolish ,,"'- <br /> <br /> <br />_' of Units ..~ <br /> <br />WORK PROPOSED:_New Construction ----.Addition <br /> <br />Faaily <br /> <br />_KIF <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: R eft ACe. ~eh.-t ~-f t10lJl t, <br />BUILDING SIZE: 10 x 5D . 500 Square Feet, Height <br /> <br />t-b rrt(' <br />- <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 />V:UILDING <br />V:LEGTRIGAL <br /> <br />PERMITS REOUESTED <br /> <br />$ :J.} 500 Valuation of Total Construction <br /> <br />~O AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_~GAL <br />~PLUKB~NG <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDU.SBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIJTI.DER <br /> <br />CONTRACI'OR SE~ <br /> <br />COMPANY ~f,~ tel f'1~h,'J~ <br /> <br />State Cert. or Regist. · 18' <br />City License Registration . <br />*****....********.*****..****.* <br /> <br />fltJ~'ts <br /> <br />PLUKBER <br /> <br /> <br />Signatur <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />~r-d I'\~ <br /> <br />r;:- } ~ (... <br /> <br />170 <br /> <br />Signature <br /> <br />COMPANY N e,~SOt'\. R~W\.A" <br />State Cert. or Regist. . <br />City License Registration' :J-7 K' <br />*.*********.*.********.***************.**. <br /> <br />(' <br />State Cert. or Reg s . <br />City License Registration . <br />**********.~****.************************* <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />************..*.*.**.**.*****************. <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />