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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OIiIlER'S HAIlE &~ 6 /17e/l$~ PHONE <br />OWNER'S ADDRESS 5~~7 h20,- ~/g2 c-/f <br />~~E <br /> <br />;?;3~ - 7;// S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D.' ~.2 ;;Z h ~ / (/ ~ / 00 C('Jt)O 0/:/0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />. <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration ~epair ~1 <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: /?g./~/l1 ~~ /17~ ~/V Ll/ f:7 bA/~ <br /> <br />", <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />ELECTRICAL <br />~CAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <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 />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA 'I <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTRICIAN <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SillmAture <br /> <br />PLUMBER COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />/.~~' ***#-************************ij**~*/*****;;* ~ <br /> <br />KEGHANICAL~ ~// ~/ . COKP~~ 4<'/"'vlrtA. A/1 <br />Sigoatur~~~~ /tf! ~~~\~~eO~e::~~~~i:n' .2~~ I <br /> <br />****************************************** <br /> <br />OTRRR COKPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />