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<br />APPLICATIOH FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMEHT <br /> <br />OWNER'S NAME <br /> <br />~)fK~ '-YA) (J.N5' <br />OWNER'S ADDRESS 3'1 c:J .) G /lA /! A/O K.. D ~. <br />JOB ADDRESS ~ <br /> <br />PHOHE <br /> <br />} :7J;2-;<sJY <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIOH <br /> <br />PARCEL I.D.' /;2.-;)~ -t;J-../-OOJ'O-<JOOOO-o}()O (OBTAIH FROM. PROPERTY TAX HOTICE) <br />WORK PROPOSED:_Hew Construction _Addition ~teration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~/F <br /> <br />_' of Units ---1f./H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />...," .{.. <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Deparu.ent Approval <br />t3F ?.E;>ID~AJC,F <br /> <br />~6~r=- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />SquareiFeet, <br /> <br />Height <br /> <br />RESIDEHTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLAHS & (2) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUCTIOH. <br /> <br />PERKITS REOUESTED <br /> <br />~UlLDING <br /> <br />$ <br /> <br />-J5CO p ~ <br /> <br />, . <br /> <br />Valuation of Total Construction <br />I <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />--1IEGIIAIO.CAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBIHG <br /> <br />GAS' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOH: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllI.SBED FLOOR ELEVAnOHS: <br /> <br />FT. <br /> <br />IS PROJECT IH FLOOD ZOO AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />COHTRACTOR SECTION <br /> <br />COKPANY SCi-IA Pt ~ koOFI,NG \ t\)~, <br />State Cert. or Regist.' Rc.. C>OS~7{,5 <br />City License Registration . <br />**************************************** <br /> <br />COMPANY <br />State Cert. or Regist. . <br />SionAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />tlECBANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />