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<br />APPLICATIOH FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKEHT <br /> <br /> <br />OWNER'S _/bY ~~ <br />OWNER'S ADDRESS "50 ~ I-:~ <br />S Q{. V\I\. e <br /> <br />POOl ~1S - <1;d- ? <br />~, ':2-ep/:yl'V-.ll__ PI ~y6 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOGIL.--SUBDIVISIOH <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIH FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_Hew Construction --Addition ----^iteration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~/F <br /> <br />_' of Units _K/H <br /> <br />_~ercia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~l' ..(. <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUlLDIHG SIZE: <br /> <br />x <br /> <br />Square 'Feet, <br /> <br />Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW COHSTRUCTIOH. <br /> <br />PERKITS REOUESTED <br /> <br />V BUILDING <br /> <br />$ S -S,U . v~ <br /> <br />. <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 />--1IEGIIAIO.CAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUttBIHG GAS ' ROOFIHG <br /> <br />SPECIALTY <br /> <br />TYPE OF COHSTRUGTIOH: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAITOHS: <br /> <br />PT. <br /> <br />IS PROJEC'f IH FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COHTRAC'fOR SEC'fIOH <br /> <br />BIITT.DRR " COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br /> <br />F.T.~GTRICIAN COMPANY <br />State Cert. or Regist. . <br />SionAture City License Registration . <br />****************************************** <br /> <br />PLUttBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />IlECllANICAL GOKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATIOH APPROVED BY PERKIT OFFICER. <br />