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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />9~ 93?-- g.s- /..s <br />;y}/ <br /> <br />.- <br /> <br />OWNER'S NAKE CON C-;' it f:. I --eN C- <br />OWNER'S ADDRESS ,73 '1~ (tp1-1! 6/(/ J <br />JOB ADDRESS fr, tyhcJ V, 'f'1A J ~ 1,(')..4,. 7.3 r p <br /> <br />(J;ftyJ /t<c:;fifor( <br />'7%3-i'r9o <br />. <br /> <br />PHONE <br /> <br />&-rlll t6!IJd'& ;?~hlr;;~Vls 3.Ys 7'1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' .55 ()5:1.// 00100$1 ?a?, co,- 0000 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install <br /> .x..Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units _M/H <br /> _c.:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: W Iff- / / <br /> <br />~;" G N <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ,...;; OIJIJ # 11f'} <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 />_MECllARI.CAL <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 />FlIIISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA"I <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY Lt!mc..o Co,v.:>I~. :7~c. <br />State Cert. or Regist. Ie r:;, C fiIJ hi.;1... <br />City License Registration I ____ ~ _ <br />****************************************** <br /> <br />/' <br /> <br />BUILDER <br /> <br />F.l.RCTRICIAN COMPANY <br />State Cert. or Regist. t <br />Sionature City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <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 t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />