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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OIINIlR'S 1Wl1\~. ~/~f~~NE <br />_'S AIIDIlESS W.P9' ~~~ - <br />JOB ADDRESS W ~f ~~/ ~ ,Z-~ <br /> <br />C-' ' <br />. n"'O;; . <br />~ <br />; 7tf{)-f22- ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Fsaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />~~L <br /> <br />"".. .._,._.......-.~------...... <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 />PERMITS REOUESTED <br /> <br />~UILDING <br />~CTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />t ..w:iL E. C. <br /> <br />--1IECllAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />'CONTRACTOR SECTION <br /> <br />BIJTI.DRR COMPANY <br />State Cert. or Resist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />UoICTRICIANa COKPAJIY~~~ <br />:ii....tore /~ ~ ~~~\~~O~::~::~i:.. ~~~iJJ'"'M2?~ <br /> <br />***************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Resist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Resist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />