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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUlLDIRG DEPARTMENT <br /> <br />,0 ,I i <br />~ .2-1l () IcJC . D <br /> <br />. I 0 - ,2 - ?J-. j 1/---- <br />?R(~ <br /> <br />JOB ADDRESS <br /> <br />(PC) II <br /> <br />'r(. AND Y"';o AI 1'1 ~ <0' Da. u. M ~ <br />PHONE <br />~. ,,'0 ~-t. ~ctNj)o.l;Ci. II. "::2-</71 <br />E)~ K C(2-es-+ 4)ct --J 2efh'o(h.:dl So , ~ (. "'35 S 9cJ <br /> <br />1 a BLOCK SUBDIVISION ~M-<. C K"-ec;+ ~q.~S <br />? hOt. cse J:. <br /> <br />OWNER'S NAME ~ <br />OWNER'S ADDRESS '3 ~ I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL LD.' 0 ~ - a b - ocSt?o - , .- t) J 2- () <br />WORK PROPOSED: vliew Construction _Addition ---.JU.teration <br /> <br />_Sign <br /> <br />--1k>ve _Deaolish <br /> <br /> <br />'" <br /> <br />'."+ <br /> <br />nOPOSEDWE: ~~leF~ily <br /> <br />---1t/F _, of Unit <br /> <br />_~rcial <br /> <br />_Indust. _Swia. <br /> <br />-Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUlLDIRG SIZE: .s-~ g X S1-, :2.2 b 17 Square Feet ,~Heigb.t <br /> <br />RESIDENTIAL: A'l'TACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: A'l'TACB (3) SETS OF BUlLDIRG PLANS Ii: (1) SET ENERGY FORKS. <br />nOPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDIRG <br /> <br />$ 1q3Y~G'\) <br />) <br /> <br />Valuation of Total Construction <br /> <br />_ELEcnuCAL <br /> <br />':).GtO AIIP Service <br />, crO <br />$ OdO" <br /> <br />./ <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_tlECHARlCAL <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: """""-Block _Fraae _Steel Other <br />II <br />FIlUSHED FI.OOR ELEVAnONS: / " rr. IS PROJECT IN FLOOD ZONE AREA"l <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />.......................................... <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />. coMPANY ~~6~1t1 CoAJ WUe+..(/\L ~~. / <br />State Cert. or Regist.' RBoC'OtIS8'3 ./ <br />City License Registration . , ,,..,. <br />.......................................... I{~ <br /> <br />COMPANY Norh~ ~P,Jf.IG'~'- / <br />State CerL or Regist. , r...R OOq~ :. .-----JL <br />City License Registration' ~________~ <br />.......................................... <br /> <br />BIJTI.DER <br /> <br />PLUMBER ~. <nlPANY ~5 ~f~ / <br />\ ~ . State Cert. or Regist. . I! '7f;) 7' . <br />Signatur City License Registration' 15Jf G::, .---/ <br />. .. ..................................... ~ <br /> <br />tlECllANlCAL~' L.LJ COMPANY <' /) uTH tl-. C<.A-~~:/- ~. /. <br />- State Cert. or Regist. , <br />Signature . City License Registration , ..-' '"77 IN -:::.IJ-, <br />~ ........................................... ~8f ~ ~ <br /> <br />OTRRR COMPANY ~~t3 ~ + ~-s\ (u. c:_J~' (/'l.&... ~c. <br />te Cert. or Regist.' f>(~nA , ~ k3 <br />City License Registration f <br />.......................................... <br /> <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERKIT OFFICER. <br />