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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />0'1i OF Z- /0//5 <br /> <br />I <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS HffAI911 J::.. aoo <br /> <br />z- ;-J/ /5:, <br /> <br />AI ~ PC) 12-=r- <br /> <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I. D. t <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _ _Alteration _Repair ~Install <br /> <br />_Sign <br /> <br />-..JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FUlily <br />Aeo..ercial <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_Indust, <br /> <br />_Swim, Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: JYl5/J4/1 //ovo/(- ...J'/?'7ok'e ~~/<:s: AA/cI (J) /JCJc...JO/~ G.?E~ /It' hf"'~ <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 />_BUILDING <br />~ELEC'TRICAL <br />---1IEGllANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R,E.C, <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 />FDUSBED FLOOR ELEVATIONS: <br /> <br />Fl' . <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />-CONTRACTOR SEC'l'ION <br /> <br />BUTIJlER <br /> <br />COMPANY <br />State Cert. or Regist, , <br />City License Registration t <br />****************************************** <br /> <br /> <br />:.=~ v;t# M <br /> <br />Signature <br /> <br />COMPANY )/(/) c&1J(#E~ F~e/fl/C. <br />State Cert, or Regist,' CR.OOI;),?V5 <br />-. City License Registration' /j"1g <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist, t <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <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 PERKIT OFFICER, <br />