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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKEHT <br /> <br />(A/Cj'l <br />q~1 <br /> <br />OWNER I S NAME Gfll4;J tJ J-j{; {lJ 2 D IV s INC. PHONE K <br />OWNER'S ADDRESS Po. /!,IJI< /? ~7 Z-HIL-L> 55 ~ scr <br />JOB ADDRESS t73~ Llilt! 1/1 )" J}V LOT ff7 <br /> <br />LEGAL DESCRIPTIOH: LOT(S) <br />PARCEL I.D.' -~ L/- - J-S- - 7-1 - <br /> <br />BLOCK SUBDIVISION GI2/1/V// /ltJ,l( ?8# <br />DO I 0 - 01300 - g>7 (OBTAlH FROM PROPERTY TAX NOTICE) <br />~ion _Alteration _Repair _Install <br /> <br />WORK PROPOSED:_Hew Construction <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_KIF _' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUlLDIHG SIZE: I 9- <br /> <br />:5CIL{~/~/V /2jPO/2i . {l1-lZfJOIlI, t/r/ L(fI{ ~M. (Jf2-( vE way <br />t ( I <br />x S(p I b72- Square Feet. i Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUlLDIHG PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDIHG <br /> <br />$ <br /> <br />1'-15& f AO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGIIAIO.CAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBIHG <br /> <br />GAS <br /> <br />ROOFIHG <br /> <br />SPECIALTY <br />ilL u;Vt. Other <br /> <br />TYPE OF CONSTRUCTIOH: _Block _Fraae _Steel <br /> <br />FINISHED FLOOR ELEVATIOHS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />GOKPANY. 8t{ 1-1- C IJIV 5,/LUC r ION 0(- O~/lJr/UIL ~(, <br />-K[~ ~ ~~;\~::';eo~~:~:~~i:"c:CV~77P- <br /> <br />'- ' ****************************************** <br /> <br /> <br />RT.RGTRICIAN COMPAHY <br />State Cert. or Regist. f <br />SignAture City License Registration f <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />PLUKBER COMPANY. <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY. <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTHRR COMPANY. <br />State Cert. or Regist. I <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICAITON APPROVED BY PERM.1T OFFICER. <br />