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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />./ .....-; 0 <br />(", J~ i-eP. ,q / (/ <br /> <br />PHONE <br /> <br />OWNER' S ADDRESS <br />JOB ADDRESS .i..G T /20 <br /> <br />-22-0.:L ~~~J<;JJ-e ~, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --Alteration _Repair _Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units ~H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />Restaurant & Health Departaent Approval <br /> <br />"~tM-k ~) /JU <br /> <br />- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COKKERClAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AttP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECHARlCAL <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 />FlIilSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY p~~ ~ 4--..S <br />~ State Cert. 0 Regist. . <br />Signature 07-- City License Registration' 5--CdB-' <br />**************************************** <br /> <br />::::IAN j tJ COHPANYh{?', Mf?f1( <br />.ill j/ jJ I - State Cert. or Regist. ~C/ <br />1m e tJf I{..(~ p fL, ()t/elfA.- City License Registration f /f?? <br />***************************************** <br /> <br />PLUMBER ~ COMPANY /?_.../~~ ~/...s <br />~7JA/1 State Cert. or gist.' <br />Signature 0~ ~ City License Registration' vY <br />****************************************** <br /> <br />MECHANICAL "l // COMPANY fire /{ RfJ '[}{ <br />~C/1P Lt~ State Cer!:. or Regis!:. (V cHm:~9"1.53- <br />Signature . c..... City License Registration' ~ ') <br />************************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br /> <br />-~......... .~......:.-~.,-,~.. <br />