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<br />~ 1 ~. <br />> /1 D <br />;713-7D 57 <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />-Robev-+ jvoincJe <br />G loG 1ft Stre~t <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' OJ ~;)~ -;2.1 - 00:20"" OQ500 -OO~J (OBTAIN FlOK PROPERTY TAX NOTICE) <br />IiORIt PROPOSED: ~ ~tr:uction ---"""ition ~teration ----.Repair _Inatall <br /> <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: ~ngle Faaily _KIF _' of Units _KID <br /> _ComIercial _Indust. _Swia. Pool _Other <br /> <br />Restaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: C~ V^ pO r't <br />BUILDING SIZE: ax-.d1, I c7')- Square Feet. 3 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 />_If(~LDING <br /> <br />$ <br /> <br />v <br />q'5o~- <br /> <br />PERMITS REOUESTED <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 />~CHAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />_PLutlBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />f'IlU.SHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />'CONTRACTOR SECTION <br /> <br />COMPANY 0 (;J/l) 131!.. _ <br />State Cert. or Regist. . <br />City License Registration . <br />............................ <br /> <br />BIITI.DER <br /> <br />F.T.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />.......................................... <br /> <br />SignAture <br /> <br />PLutlBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />........................................*. <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />........................*..........**.**.. ' .,.,.-.,-.-, <br /> <br />Signature <br /> <br />.. ..... ..... - ~ ......( <br /> <br />APPLICATION APPROVED BY <br /> <br />1 <br /> <br />~,III.,;~~(~\..,...,) , <br /> <br />,"'. . PERMIT OFFICER. <br /> <br />~ .. ... ';ill'~'" "!"'_......~.................1.. <br />