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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHI~~ ( <br /> <br />OWNER'S ~ M~ ~ M ~ B:P;;;;:J <br /> <br />OWNER'S ADDRESS "?'l1..n.Y'1- 9 ~ ~ <br />~krY1C:- <br /> <br />PHONE <br /> <br />7g,2- lo3sn <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I"D.' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FRO" PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --.Addition --.Alteration -.Jtepair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_DeJlolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--'lIF <br /> <br />_' of Units ----1f./H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Depart.ent Approval <br /> <br />FevcE <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <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 />PERMITS REOUESTED <br /> <br />-BUILDING <br /> <br />$- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECBAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />F1IUSBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BITTI.DER <br /> <br />cotIPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />F.I.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SilmAture <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />.......................................... <br /> <br />COHPAH~N 1Ov~" kc.-p <br />State Cert. or Regist. , <br />City License Registration I J /J'I7 <br />.......................................... <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />