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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />1~~77, ~' <br />J~~ fC/-'-' , <br /> <br />OWNER'S NAKE <\c kt2l It Qpo l"( PHONE C~I~ 7l ~ C-.oq I, <br />OWNER'S ADDRESS S-/sO( ~ I'm'" 12.. ~T LKt-J(;5 ( 2.~'1 e 1+1 ( (~t ~ ~..s~ , <br />JOB ADDRESS S"z-5'f Sc.o"'t1,4 ST I Q-PH'i ~h-I LLS., TL 3s~ I <br />LEGAL DESCRIPTION: LOT~ R 13 BLOCK...--SUBDIVISION <br />PARCEL LD.' /0 ' ;) 6 -;L/ - 6 (.)/ tJ ...... D 750 CJ -00 C:J (,) (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction .,k:Addition -..Alteration ~epair _Install <br /> _Sign -'love _Deaolish <br />PROPOSED USE: .1single Fallily _KIF _' of Units _K/H <br /> _eo..ercial _Indust. _Swia. Pool _Other -.(. <br /> Tl <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />. - <br /> <br />sc 1LEt-N lZ.co H + ~ fK:::.4::> <br />LZr') Square 'Feet. t Height <br /> <br />ADD (nON 10 l(o~r~~_ (-./diG' <br /> <br />BUILDING SIZE: _H___x LQ. <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_LLDIIIG <br /> <br />$ <br /> <br />~~ooe./ <br /> <br />PERKITS REOUESTED <br /> <br />Valuatiop. of Total Construction <br /> <br />RT.I{CTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECBAKlCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING GAS' ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVATIONS: <br /> <br />Fl" . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION "' <br /> <br />BUYI.DER / ;1, mKPANY f~;JJ ~f1W1Un~ <br />~MM1fu State Gert. or Regist. . <br />Signature, _ U 11 City License Registration . <br />***.******~****************************** ~ <br /> <br />I(j' <br />. <br /> <br />RT.I{CTRTCIAN COKPANY <br />State Cert. or Regist. f <br />SianAture City License Registration . <br />****************************************** <br /> <br />PLUKBER. COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COKPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />()1'R'I{R COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />