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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME P(7AJ.4/.J K G c It VF..s <br />OWNER'S ADDRESS .? ~f ~ / .41 AS .4 file ~ jJ R. <br /> <br />, , <br /> <br />PHONE i?~O - j06Y E1- /1 J/~/ <br /> <br />JOB ADDRESS <br /> <br />II"! LOI <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -----Alteration _Repair _Install <br /> <br />_Sign. <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: S' /I F 0 - () ^ ( ..J Ooc-i . <br /> <br />BUILDING SIZE: <br /> <br />;f <br /> <br />x/I, .~ <br /> <br />70 <br /> <br />Square Feet, <br /> <br />r <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 />_BUILDING <br /> <br />$ <br /> <br />bOO .00 <br /> <br />PERKITS 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 />~CllAlU.CAL <br /> <br />$ <br /> <br />Va1uation of Kechanical 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 />FINISHED 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 <br />/) ,1/ .-..vI State Cert. or Regist. t <br />Signature 11.An1~ tf - ~ ~ City License Registration t <br />.......................................... <br /> <br />F.I.F.CTRICIAN COMPANY <br />State Cert. or Regist. t <br />SignAture City License Registration t <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.......................................... <br /> <br />KEGBANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />OTIIY.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />'{>>LICATION APPROVED BY PERMIT OFFICER. <br />